NPIMap

Organization Active NPI

Sunrise Medical Group Inc

  • Neurology Physician
  • Hollywood, FL
National Provider Identifier
1912957697
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SUNRISE MEDICAL GROUP INC
Practice address
4925 Sheridan St
200
Hollywood, FL 33021-2829
Phone
(954) 981-3850
Fax
(954) 981-3889
NPI assigned
May 11, 2006
Last updated
Dec 15, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSAL MEDICAL CONCEPTS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Giovanne Zygala
Title
Credentialing Manager
Phone
(954) 956-1966

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

4925 Sheridan St
200
Hollywood, FL 33021-2829

Mailing address

6245 N Federal Hwy
Suite 300
Fort Lauderdale, FL 33308-1998
Phone (954) 956-1966

National Provider Directory

National Provider Directory

Locations

407 SE 9th St
Ste 102
Ft Lauderdale, FL 33316
Phone (954) 981-3850

333 NW 70th Ave
Ste 103
Plantation, FL 33317
Phone (954) 797-7887

Practitioners & affiliated clinicians

Practitioners 67

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.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1912957697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 N FEDERAL HWY",
            "address_2": "SUITE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081998",
            "telephone_number": "954-956-1966",
            "fax_number": "954-745-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 SHERIDAN ST",
            "address_2": "200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212829",
            "telephone_number": "954-981-3850",
            "fax_number": "954-981-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSAL MEDICAL CONCEPTS INC",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "ZYGALA",
        "authorized_official_first_name": "GIOVANNE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "954-956-1966"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.