SUNRISE COMMUNITY CARE PC – NPI #1154050615
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

Health Care Provider Taxonomy Code for Allergy & Immunology

SUNRISE COMMUNITY CARE PC is an allergy & immunologist located in NORTH BERGEN, NJ. NPPES has assigned the NPI number 1154050615 to SUNRISE COMMUNITY CARE PC on June 08, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was last updated on Jun 28, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUNRISE COMMUNITY CARE PC below.

NPI Profile for
SUNRISE COMMUNITY CARE PC

NPI Number
1154050615
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUNRISE COMMUNITY CARE PC
Primary location
9238 JOHN F KENNEDY BLVD
NORTH BERGEN, NJ 07047
Phone: (718) 551-1580 Fax: (212) 888-6024
Mailing address
560 HUDSON ST FL 3
HACKENSACK, NJ 07601-6655
Phone: (201) 287-1777 Fax: (212) 888-6024
Organization Subpart
No
Authorized Official
JERRY GORDON
MANAGING PARTNER
Phone: (718) 551-1580
Updated
Certification Date
Jun 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KA0200X
- Allergy & Immunology / Allergy (Primary)
174400000X
- Specialist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.