Individual provider Active NPI

Stacy Sun, M.D.

  • Obstetrics & Gynecology Physician
  • Rochester, NY
National Provider Identifier
1780096982
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3042942 Issued in NY
Practice address
125 Lattimore Rd Ste 200
Rochester, NY 14620-4155
Phone
(585) 273-3608
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 3042942 NY Primary
Obstetrics & Gynecology Physician 207V00000X 304942 NY

Addresses

Primary practice location

125 Lattimore Rd Ste 200
Rochester, NY 14620-4155

Mailing address

601 Elmwood Ave Box 668
Rochester, NY 14642-0001
Phone (585) 273-3608

Other identifiers 1

IdentifierTypeStateIssuer
D85849OtherMDLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssun213809@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200903000509 NY Practitioner - Obstetrics/Gynecology 5193940674 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strong Obstetrics-Gynecology GroupGroup PAC ID 2860382926, 79 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

125 Lattimore Rd
Rochester, NY 14620-4155

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 487-3400

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3042942NYMDObstetrics & Gynecology Physician
304942NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Aug 1, 2020 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Dec 1, 2022 Accepting new patients
Strong Obstetrics-Gynecology Group Obstetrics & Gynecology CurrentSince Aug 1, 2020 Accepting new patients
Planned Parenthood of Central and Western New York, Inc CurrentSince Oct 1, 2020 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Dec 1, 2022 Accepting new patients
Reproductive Endocrinology Infertility GP of Univ of Roch Current Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Aug 1, 2020 Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

222 W Main St
Batavia, NY 14020
Phone (585) 344-0516

60 E Amherst St
Buffalo, NY 14214
Phone (716) 831-2200

15 Lafayette Ave
Canandaigua, NY 14424
Phone (585) 344-0631

750 Portage Rd
Niagara Falls, NY 14301
Phone (716) 831-2200

15 Webster St
North Tonawanda, NY 14120
Phone (716) 694-1225

601 Elmwood Ave
#668
Rochester, NY 14642
Phone (585) 275-2691

125 Lattimore Rd
Ste 200
Rochester, NY 14620
Phone (585) 273-3608

114 University Ave
Rochester, NY 14605
Phone (585) 546-2771

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#320
Rochester, NY 14642

1120 E Genesee St
Syracuse, NY 13210
Phone (315) 475-5540

240 Center Rd
West Seneca, NY 14224
Phone (716) 675-1012

Interoperability endpoints

  • Direct secure messaging: stacy.sun.p4@direct.usppny.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1780096982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 668",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-273-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LATTIMORE RD STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204155",
            "telephone_number": "585-273-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "STACY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2023-07-03",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "3042942",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "304942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D85849",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssun213809@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.