Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sun Mountain Medical PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1265237085

Sun Mountain Medical PLLC is a Physical Medicine & Rehabilitation Physician in Corona, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4140 Junction Blvd
Corona, NY 11368-3584
Phone: (917) 400-3941
Fax: (718) 447-7831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X

Record details

NPI number1265237085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shailesh Pathare — President · (917) 400-3941
NPI enumeratedFebruary 17, 2025
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 16, 2025
Mailing address565 Jewett Ave Bsmt Medical, Staten Island, NY 10302-2654

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