NPIMap

Organization Active NPI

Sunrise Pediatrics PC

  • Pediatrics Physician
  • Shillington, PA
National Provider Identifier
1760699136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD062035-L Issued in PA
Legal business name
SUNRISE PEDIATRICS PC
Practice address
14 Philadelphia Ave
Shillington, PA 19607-2757
Phone
(610) 777-7781
Fax
(610) 777-1275
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Milka Velazquez, MDNPI 1528106648
Title
President
Phone
(610) 777-7781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD062035-L PA Primary

Addresses

Primary practice location

14 Philadelphia Ave
Shillington, PA 19607-2757

Mailing address

14 Philadelphia Ave
Shillington, PA 19607-2757
Phone (610) 777-7781

National Provider Directory

National Provider Directory

Locations

14 Philadelphia Ave
Shillington, PA 19607
Phone (610) 777-7781

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760699136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PHILADELPHIA AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072757",
            "telephone_number": "610-777-7781",
            "fax_number": "610-777-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PHILADELPHIA AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072757",
            "telephone_number": "610-777-7781",
            "fax_number": "610-777-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "MILKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-777-7781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD062035-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shillington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.