SUNRISE CLINICAL SERVICES, LLC
NPI 1336404417
Clinic/Center - Methadone in Irvington, NJ
NPI Status: Active since July 05, 2012
Contact Information
22 BALL ST
IRVINGTON, NJ
ZIP 07111
Phone: (739) 372-1095
Fax: (973) 372-1096
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 31D2095829
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 05-11-2027
About SUNRISE CLINICAL SERVICES, LLC
This page provides the complete NPI Profile along with additional information for Sunrise Clinical Services, Llc, a provider established in Irvington, New Jersey operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1336404417 assigned on July 2012. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's former legal business name is Oasis Clinical. The authorized official of this NPI record is Terryann Maree Dechert Cpb (Admin)
- NPI
- 1336404417
- Provider Legal Name
- SUNRISE CLINICAL SERVICES, LLC
- Other Organization Name
- OASIS CLINICAL
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 22 BALL ST IRVINGTON, NJ 07111
- Location Phone
- (739) 372-1095
- Location Fax
- (973) 372-1096
- Mailing Address
- 22 BALL ST IRVINGTON, NJ 07111
- Mailing Phone
- (973) 372-1095
- Mailing Fax
- (973) 372-1096
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-05-2012
- Last Update Date
- 08-13-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0370703 | MEDICAID (05) | NJ |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
This service was performed 1,205 times for 39 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2095829
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- May 12, 2025
- Certificate Expiration Date
- May 11, 2027
- Laboratory Director
- ERNEST POLITE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sunrise Clinical Services, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SUNRISE CLINICAL SERVICES, LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 4 | 0 | 4 | 4 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 8 | 0 | 8 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 8 + 0 + 8 + 4 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1336404417 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639283047 | DR. BERNIER LAUREDAN M.D. Individual | Preferred Provider Organization | 22 BALL ST SUITE 100 IRVINGTON, NJ 07111 (973) 371-1600 |
| 1912192527 | SANDRENE MILLER M.D Individual | Pediatrics (Pediatric Hematology-Oncology) | 22 BALL ST IRVINGTON, NJ 07111 (973) 371-1600 |
| 1518258359 | ESSEX PEDI DOCS LLC Organization | Pediatrics | 22 BALL ST IRVINGTON, NJ 07111 (973) 371-1600 |
| 1770518698 | IRVINGTON PEDIATRIC ASSOCIATES, P.A. Organization | Preferred Provider Organization | 22 BALL ST SUITE 100 IRVINGTON, NJ 07111 (973) 371-1600 |
| 1235665175 | SUNRISE CLINICAL LAB, LLC Organization | Clinical Medical Laboratory | 22 BALL ST SUITE # 2 IRVINGTON, NJ 07111 (973) 757-2184 |
| 1689259004 | MISS LISA SILAS CPRS Individual | Peer Specialist | 22 BALL ST IRVINGTON, NJ 07111 (973) 372-1095 |
| 1114783206 | MS. STACY A SHARPE Individual | Nurse Practitioner (Psychiatric/Mental Health) | 22 BALL ST IRVINGTON, NJ 07111 (973) 372-1095 |
| 1467854372 | TUSEEAF RATHORE Individual | Clinic/Center (Methadone) | 22 BALL ST 2ND FLOOR IRVINGTON, NJ 07111 (201) 668-5016 |
| 1689487035 | KUMARASWAMY GOLLARAHALLY-KENCHAP PHD Individual | Clinical Medical Laboratory | 22 BALL ST IRVINGTON, NJ 07111 (973) 877-8357 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336404417, enumerated in the NPI registry as an "organization" on July 05, 2012
The provider is located at 22 Ball St Irvington, Nj 07111 and the phone number is (739) 372-1095
This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm.
The provider's CLIA number is 31D2095829 for a "comp. outpatient rehab facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 05, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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