SUNLYTE TREATMENT CENTERS, LLC
Nurse Practitioner (Adult Health)

Address: 2556 N Front St, Philadelphia, PA 19133-4004

SUNLYTE TREATMENT CENTERS, LLC (NPI# 1033704630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033704630
Entity Type Organization
Organization Name SUNLYTE TREATMENT CENTERS, LLC
Practice Address 2556 N Front St
Philadelphia
PA 19133-4004
Practice Telephone 2152052294
Mailing Address 1123 Kerper St
Philadelphia
PA 19111-4925
Mailing Telephone 2152052294
Certification Date 2021-03-07
Enumeration Date 2021-03-04
Last Update Date 2021-03-07
Authorized Official Telephone 2152052294
Authorized Official Credential APN-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
193200000X MULTI-SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL Philadelphia 2556 N Front St, Philadelphia, PA 191334004

Office Location

Street Address 2556 N FRONT ST
City PHILADELPHIA
State PA
Zip Code 19133-4004

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306486832 Uno Mas Home Care LLC Home Health 2506 N Front St, Philadelphia, PA 19133-4004 2020-01-13
1447232574 Ngan Kim Do Pharmacist 2510 N Front St, Philadelphia, PA 19133-4004 2005-11-15

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1184261414 Jacqueline Flores Case Manager/Care Coordinator 216 W. Somerset St, Estuerzo Program, Philadelphia, PA 19133 2019-12-05
1124665567 Hannah Marie Comins Case Manager/Care Coordinator 216 W. Somerset St, Estuerzo Program, Philadelphia, PA 19133 2019-12-04
1144867581 Carissa Marie Rivera Case Manager/Care Coordinator 216 W Somerset St, Estuerzo Program, Philadelphia, PA 19133 2019-12-04
1194362533 Medgina Ramses Mabou Case Manager/Care Coordinator 216 W. Somerset St, Estuerzo Program, Philadelphia, PA 19133 2019-12-04
1346887783 Evelyn Stefanopoulus Case Manager/Care Coordinator 216 W. Somerset St, Estuerzo Program, Philadelphia, PA 19133 2019-12-04
1407493844 Lorett Matus Case Manager/Care Coordinator 216 W. Somerset St, Estuerzo Program, Philadelphia, PA 19133 2019-12-04
1518504950 Samuel Romero Case Manager/Care Coordinator 216 W. Somerset St, Estuerzo Program, Philadelphia, PA 19133 2019-12-04
1588201925 Jordania Dejesus Case Manager/Care Coordinator 216 W. Somerset St, Estuerzo Program, Philadelphia, PA 19133 2019-12-04
1841837283 Megan Olivia Warren Case Manager/Care Coordinator 216 W. Somerset St, Estuerzo Program, Philadelphia, PA 19133 2019-12-04
1427525708 Delia Maria Home Care Agency LLC Home Health Aide 2945-47 N. 5th Street, Philadelphia, PA 19133 2018-10-25
Find all providers in zip 19133

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740897594 Tajmia G Mcintosh 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-25
1508471541 Alexandra Andraski 2109 Red Lion Rd, Philadelphia, PA 19115-1711 2020-09-15
1598399685 Helene Elizabeth Morisi · Helene Elizabeth Jones 6212 Walnut St, Philadelphia, PA 19139-3706 2020-02-27
1609415066 Debra Ann Kossman 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-01-03
1205472461 Dana Pieretti 7600 Central Ave, Philadelphia, PA 19111-2442 2019-11-22
1841834710 Joseph Mascaro 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 2019-11-04
1396396560 Lisa Mak 3401 N Broad St, Philadelphia, PA 19140-5103 2019-09-27
1346809118 Stephania Dottin 2301 N 29th St Ste 500, Philadelphia, PA 19132-3454 2019-06-06
1154893303 Jacqueline Sweeney 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 2018-12-28
1861964702 Kristen Petra Welch 3400 Spruce St, Philadelphia, PA 19104-4238 2018-12-17
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19133

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.