Delmarva Sleep Diagnostics, Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

2004206616 Issued in DE

Legal business name

DELMARVA SLEEP DIAGNOSTICS, INC.

Practice address

104 Sleepy Hollow Dr
Suite 203
Middletown, DE 19709-8894

Phone

(302) 449-5460

Fax

(302) 449-5475

NPI assigned

Jun 1, 2006

Organization subpart

No

Name

Mr. David Anthony Godlewski

Title

Chief Executive Officer

Phone

(302) 449-5460

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003853540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SLEEPY HOLLOW DR",
            "address_2": "SUITE 203",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098894",
            "telephone_number": "302-449-5460",
            "fax_number": "302-449-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SLEEPY HOLLOW DR",
            "address_2": "SUITE 203",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098894",
            "telephone_number": "302-449-5460",
            "fax_number": "302-449-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA SLEEP DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GODLEWSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "302-449-5460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "DE",
            "license": "2004206616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3096779",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA NORTH REGION",
            "identifier": "P00227885",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000034930",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3843471",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "A3619429",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "268237",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2133502",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE PHYSICIANS CARE",
            "identifier": "0000826401",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delaware Sleep Disorder Centers, LLC
• Delaware Sleep Disorder Centers, LLC
• Delaware Sleep Disorder Centers, LLC
• Delaware Smile Center
• Delmarva Mental Wellness LLC
• Laurie Ann Denham, LPCMH
• Virginia K. Dennis, FNP
• Dental Management Strategies LLC
• Priyal Desai, MBBS
• Rowena Descartes

• All providers in Middletown, DE
• Sleep Disorder Diagnostic Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.