Individual provider Active NPI

Bonnie Sunday, M.D.

  • Family Medicine Physician
  • Orchard Park, NY
National Provider Identifier
1992778674
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
187904 Issued in NY
Practice address
3065 Southwestern Blvd
Suite 100
Orchard Park, NY 14127-1239
Phone
(716) 675-7443
Fax
(716) 675-7465
NPI assigned
Feb 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 187904 NY Primary

Addresses

Primary practice location

3065 Southwestern Blvd
Suite 100
Orchard Park, NY 14127-1239

Mailing address

3065 Southwestern Blvd
Suite 100
Orchard Park, NY 14127-1239
Phone (716) 675-7443

Other identifiers 1

IdentifierTypeStateIssuer
01346689MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southtowns Gastroenterology, PLLC Past Accepting new patients
Trinity Medical Wny PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1992778674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 SOUTHWESTERN BLVD",
            "address_2": "SUITE 100",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271239",
            "telephone_number": "716-675-7443",
            "fax_number": "716-675-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 SOUTHWESTERN BLVD",
            "address_2": "SUITE 100",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271239",
            "telephone_number": "716-675-7443",
            "fax_number": "716-675-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDAY",
        "first_name": "BONNIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-11",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "187904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01346689",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.