Sunrise Medical Care, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

235794 Issued in NY

Legal business name

SUNRISE MEDICAL CARE, PC

Practice address

762 59TH St Apt 6
Brooklyn, NY 11220-3920

Phone

(718) 439-8700

Fax

(718) 439-8702

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lisa S Ren, M.D.NPI 1457444051

Title

President

Phone

(718) 439-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Lisa Siqin Ren, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Melville, NY
  • NPI 1457444051
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1902057508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 59TH ST APT 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203920",
            "telephone_number": "718-439-8700",
            "fax_number": "718-439-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 59TH ST APT 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203920",
            "telephone_number": "718-439-8700",
            "fax_number": "718-439-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "REN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-439-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "235794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02875616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Dental Brooklyn 55 PLLC
• Sunrise Dental Brooklyn 59 PLLC
• Sunrise Dental Brooklyn 68 PLLC
• Sunrise Health Pharmacy Inc
• Sunrise Licensed Behavioral Analyst
• Sunrise Medical Supply Corp
• Sunrise Pain and Rehabilitation Medicine PC
• Sunrise Rehab PT PC
• Sunrise Senior Center Inc
• Sunrx Optical Inc

• Physical Medicine & Rehabilitation Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.