NPIMap

Organization Active NPI

Sunrise Family Medical, PC

  • Family Medicine Physician
  • Oakdale, NY
National Provider Identifier
1932379914
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
208138 Issued in NY
Legal business name
SUNRISE FAMILY MEDICAL, PC
Practice address
4568 Sunrise Hwy
Oakdale, NY 11769-1012
Phone
(631) 472-6000
Fax
(631) 472-9777
NPI assigned
Mar 6, 2008
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Linda Purcell
Title
Office Administrator
Phone
(631) 472-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 208138 NY Primary

Addresses

Primary practice location

4568 Sunrise Hwy
Oakdale, NY 11769-1012

Mailing address

4568 Sunrise Hwy
Oakdale, NY 11769-1012
Phone (631) 472-6000

National Provider Directory

National Provider Directory

Locations

4568 Sunrise Hwy
Oakdale, NY 11769
Phone (631) 472-6000

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1932379914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4568 SUNRISE HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691012",
            "telephone_number": "631-472-6000",
            "fax_number": "631-472-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 SUNRISE HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691012",
            "telephone_number": "631-472-6000",
            "fax_number": "631-472-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE FAMILY MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "631-472-6000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.