Sun River Health Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

5901200R Issued in NY

Legal business name

SUN RIVER HEALTH INC

Practice address

327 Front St
Hudson River Healthcare, Inc.
Greenport, NY 11944-1515

Phone

(631) 477-2678

Fax

(631) 477-3022

NPI assigned

Aug 31, 2007

Last updated

Mar 13, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SUN RIVER HEALTH INCAs reported in NPPES

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

Authorized official

Name

Adam Lipton

Title

VP Info/Practice MGMT Systems

Phone

(919) 384-2375

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851585962. Details of each certification follow.

• CCN 331972 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 331972

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 7, 2007

Last certification

Dec 7, 2007

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

327 Front St
Greenport, NY 11944-1515

Related certifications (CCN) 2

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amityville, NY
  • NPI 1407260250

  Related provider number

  Provider of Services
• Sun River Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Peekskill, NY
  • NPI 1619969458

  Related provider number

  Provider of Services

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sun River Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Peekskill, NY
  • NPI 1619969458

  O20071023000814

  Same enrollment

Part of

Frank B Dorsa

Locations

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joan Becht, RN,ANP-BC,CPNP

  • Adult Health Nurse Practitioner
  • Riverhead, NY
  • NPI 1568770238
  NPD (past)
• Donnalee Cataldo, N.P.

  • Adult Health Nurse Practitioner
  • Greenport, NY
  • NPI 1790818045
  NPD (past)
• Kathleen Rambo Knight, N.P.

  • Family Nurse Practitioner
  • Riverhead, NY
  • NPI 1548300791
  NPD (past)
• Diane Manus-Bianculli, NP,C

  • Adult Health Nurse Practitioner
  • Greenport, NY
  • NPI 1740403641
  NPD (past)
• Lawrence Joseph Minei, MD

  • Obstetrics & Gynecology Physician
  • Patchoque, NY
  • NPI 1003825225
  NPD (past)
• Blaise C. Napolitano, M.D.

  • Family Medicine Physician
  • Riverhead, NY
  • NPI 1033318449
  NPD (past)
• Roselyn J Rice, MD

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1629009014
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647129600000",
    "number": "1851585962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5036",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106025036",
            "telephone_number": "914-734-8800",
            "fax_number": "914-734-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 FRONT ST",
            "address_2": "HUDSON RIVER HEALTHCARE, INC.",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441515",
            "telephone_number": "631-477-2678",
            "fax_number": "631-477-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN RIVER HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN RIVER HEALTH INC",
        "enumeration_date": "2007-08-31",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A",
        "authorized_official_last_name": "LIPTON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "VP INFO/PRACTICE MGMT SYSTEMS",
        "authorized_official_telephone_number": "919-384-2375"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "5901200R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473038",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Shemella, DDS
• Letty Chandra Smith, MD
• In Kyung Song, DO
• Desiree Stemberga, MD
• Kai Maarten Sturmann, MD
• Sunrise Busses, Inc.
• Neha Tailigeri, DO
• The Family MD
• Merin Philo Thomas, DO
• Sercan Ture, DO

• Federally Qualified Health Center (FQHC) in Greenport, NY
• Providers in Greenport, NY by specialty
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.