Active NPI
Sunnyside Medical Services, P.C.
- Internal Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SUNNYSIDE MEDICAL SERVICES, P.C.
- Practice address
- 1491 Richmond Rd
Staten Island, NY 10304-2311 - Phone
- (718) 273-6999
- Fax
- (718) 273-4394
- NPI assigned
- Sep 8, 2010
- Last updated
- Mar 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward J Levine, MD
- Title
- Health Care Provider
- Phone
- (718) 273-6999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 152068 | NY | |
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1491 Richmond Rd
Staten Island, NY 10304-2311
Mailing address
1491 Richmond Rd
Staten Island, NY 10304-2311
Phone (718) 273-6999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2190123 | Sunnyside Medical Services PC | Certificate of waiver | Aug 9, 2026 |
National Provider Directory
National Provider DirectoryLocations
1491 Richmond Rd
Staten Island, NY 10304
Phone (718) 273-6999
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1689761926
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1649226069
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1184733222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521676800000",
"number": "1942517321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1491 RICHMOND RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103042311",
"telephone_number": "718-273-6999",
"fax_number": "718-273-4394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1491 RICHMOND RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103042311",
"telephone_number": "718-273-6999",
"fax_number": "718-273-4394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNNYSIDE MEDICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-08",
"last_updated": "2018-03-22",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "HEALTH CARE PROVIDER",
"authorized_official_telephone_number": "718-273-6999",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "152068",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
- Sunny Days Early Childhood Developmental Services, Inc.
- Sunny Days Early Intervention Services
- Sunny Enlightening Corp.
- Cicily Sunny
- Shannon Elizabeth Sunny, DO
- Sunrise Anesthesia Associates, PC
- Sunrise Medical Practice PC
- Sunrise Wellness Mental Health Counseling Services
- Sunset Medical Imaging, P.C.
- Sunstar Psychiatric NP PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.