Organization Active NPI

Sunrise House Foundation, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mountainside, NJ
National Provider Identifier
1851702427
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2000354 Issued in NJ
Legal business name
SUNRISE HOUSE FOUNDATION, INC.
Practice address
1122 Route 22
Suite 204
Mountainside, NJ 07092
Phone
(973) 383-6300
Fax
(973) 383-6929
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
James J Kittel, CPA
Title
Cfo
Phone
(973) 383-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2000354 NJ Primary

Addresses

Primary practice location

1122 Route 22
Suite 204
Mountainside, NJ 07092

Mailing address

PO Box 600
37 Sunset Inn Road
Lafayette, NJ 07848
Phone (973) 383-6300

National Provider Directory

National Provider Directory
Tax ID family
Sunrise House Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1122 Route 22
Ste 204
Mountainside, NJ 07092
Phone (973) 383-6300

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1851702427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "address_2": "37 SUNSET INN ROAD",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "07848",
            "telephone_number": "973-383-6300",
            "fax_number": "973-383-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 ROUTE 22",
            "address_2": "SUITE 204",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "07092",
            "telephone_number": "973-383-6300",
            "fax_number": "973-383-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HOUSE FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "KITTEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "973-383-6300",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.