Sunnyvale Wellness Foundation

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

SUNNYVALE WELLNESS FOUNDATION

Practice address

2340 E Allegheny Ave
Philadelphia, PA 19134-4433

Phone

(215) 608-8937

Fax

(267) 459-5831

NPI assigned

Mar 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Anuli Mkparu, MD, MBA, MSCNPI 1396972733

Title

Chief Executive Officer

Phone

(215) 608-8937

Specialties & licenses 1

Addresses

Other names 1

• Sunnyvale Medical Foundation Inc Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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.

• Anuli Nwaife Mkparu, MD, MBA, MSC

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1396972733

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Sean Dennis Green Sr., M.D.

  • Family Medicine Physician
  • Bryn Mawr, PA
  • NPI 1548296601
  Medicare reassignment NPD
• Andrei Lobach

  • Family Nurse Practitioner
  • Warminster, PA
  • NPI 1457925356
  Medicare reassignment NPD
• Brandon Pisani, PA-C

  • Medical Physician Assistant
  • Clementon, NJ
  • NPI 1992446538

  PA

  Medicare reassignment

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1861149221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344433",
            "telephone_number": "215-608-8937",
            "fax_number": "267-459-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344433",
            "telephone_number": "215-608-8937",
            "fax_number": "267-459-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYVALE WELLNESS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-06",
        "status": "A",
        "authorized_official_last_name": "MKPARU",
        "authorized_official_first_name": "ANULI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-608-8937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBA, MSC"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Portal",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2340 E Allegheny Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191344433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sunnyvale Medical Foundation Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sunnyvale Medical Practice
• Sunnyvale Medical Practice
• Sunnyvale Orthopaedic and Rehabilitation Clinic LLC
• Sunnyvale Orthopaedic and Rehabilitation Clinic LLC
• Sunnyvale Orthopaedic and Rehabilitation Clinic LLC
• Sunnyvale Wellness Foundation
• Sunray Chester LLC (Sunray Drugs Chester Ave)
• Sunray Drugs LLC (Sunray Drug Store)
• Sunray Drugs LLC
• Sunrise Mental Health Therapy, LLC

• Community Health Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community Health Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.