Pulmonary Critical Care Sleep Associates PC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

25MB05852900 Issued in NJ

Legal business name

PULMONARY CRITICAL CARE SLEEP ASSOCIATES PC

Practice address

1700 Whitehorse Hamilton Square Rd
Suite C-4
Hamilton, NJ 08690-3536

Phone

(609) 587-9944

Fax

(609) 587-9955

NPI assigned

Oct 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahmood Islam Siddique, D.O.

Title

Administrator

Phone

(609) 587-9944

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053401331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD",
            "address_2": "SUITE C-4",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903536",
            "telephone_number": "609-587-9944",
            "fax_number": "609-587-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD",
            "address_2": "SUITE C-4",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903536",
            "telephone_number": "609-587-9944",
            "fax_number": "609-587-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY CRITICAL CARE SLEEP ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUE",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_middle_name": "ISLAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "609-587-9944",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MB05852900",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MB05852900",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MB05852900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5548608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Joseph Provenzano, M.A., LPC
• Melissa L Przemieniecki, APN
• Psychiatry & Behavioral Health New Jersey, LLC
• Shilpa Puli
• Pulmonary Critical Care Sleep
• Pulmonary Diagnostic Services LLC
• Pulmonary Diagnostic Services LLC
• Pulmonary Diagnostic Services LLC
• Pulmonary Management, Inc.
• Emily Elizabeth Purcell, M.D.

• Sleep Medicine (Internal Medicine) Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Sleep Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.