1. Home
  2. Directory
  3. New York
  4. Lindenhurst
  5. Otolaryngology
  6. NPI Profile

SUNRISE ENT PC
NPI 1366919953
Otolaryngology - Facial Plastic Surgery in Lindenhurst, NY

Active since November 01, 2018
100 SUNRISE HWY, LINDENHURST, NY 11757(631) 226-1800 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sunrise Ent Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNRISE ENT PC (NPI 1366919953) is a healthcare organization registered as a facial plastic surgery in Lindenhurst, New York and active in the NPI registry since November 2018. The organization lists John Grosso, Physicisn, as its authorized official.

NPPES Registry Identity

NPI1366919953
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameSUNRISE ENT PC
Location Address100 SUNRISE HWYLindenhurst, NY 11757-2544
Mailing Address100 Sunrise HwyLindenhurst, NY 11757-2544 · (631) 226-1800
Phone(631) 226-1800
Organization SubpartNo
Authorized OfficialJohn GrossoPhysicisn · (631) 226-1800
Enumeration DateNovember 1, 2018
✔ NPI 1366919953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition
An otolaryngologist who specializes in facial plastic surgery.
100 SUNRISE HWY, Lindenhurst, NY 11757
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunrise Ent Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Sunrise Ent PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

John Grosso, M.D.
Otolaryngology
NPI 1912978057
100 SUNRISE HWY
Lindenhurst, NY 11757
(631) 226-1800
✔ PECOSSame address
Melanie Miles, AUD
Qualified Audiologist
NPI 1104997493
12 SHELART ST
Plainview, NY 11803
(516) 349-1067
8.1 mi
Meagan Ruth, AUD
Qualified Audiologist
NPI 1992170054
175 JERICHO TPKE STE 103
Syosset, NY 11791
(516) 364-1234
10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunrise Ent PC's NPI number?

The NPI number for Sunrise Ent PC is 1366919953. It was assigned to this organization in the NPPES registry on November 1, 2018.

Where is Sunrise Ent PC located?

Sunrise Ent PC is located at 100 Sunrise Hwy, Lindenhurst, NY 11757. The listed phone number is (631) 226-1800.

What is Sunrise Ent PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Sunrise Ent PC enrolled in Medicare?

Yes. Sunrise Ent PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunrise Ent PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Sunrise Ent PC, in Otolaryngology and Qualified Audiologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sunrise Ent PC was last updated on November 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.