NPIMap

Organization Active NPI

Advanced Sleep Disorders Center LLC

  • Clinical Medical Laboratory
  • Dover, DE
National Provider Identifier
1053724815
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ADVANCED SLEEP DISORDERS CENTER LLC
Practice address
200 Banning St
Suite 210
Dover, DE 19904-3487
Phone
(302) 744-9645
Fax
(302) 744-9649
NPI assigned
Jun 9, 2014
Last updated
Sep 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Dr. Vineet Puri, MDNPI 1548215981
Title
Medical Doctore
Phone
(302) 744-9645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X DE Primary

Addresses

Primary practice location

200 Banning St
Suite 210
Dover, DE 19904-3487

Mailing address

200 Banning St
Suite 210
Dover, DE 19904-3487
Phone (302) 744-9645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141003000734 DE Part B Supplier - Clinic/Group Practice 5395965834 Receives reassigned benefits from 1 practitioner
Practice locations: Dover, DE

National Provider Directory

National Provider Directory

Locations

1417 New Burton Rd
Dover, DE 19904
Phone (302) 744-9645

200 Banning St
Ste 210
Dover, DE 19904
Phone (302) 744-9645

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1053724815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BANNING ST",
            "address_2": "SUITE 210",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043487",
            "telephone_number": "302-744-9645",
            "fax_number": "302-744-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST",
            "address_2": "SUITE 210",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043487",
            "telephone_number": "302-744-9645",
            "fax_number": "302-744-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SLEEP DISORDERS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "VINEET",
        "authorized_official_title_or_position": "MEDICAL DOCTORE",
        "authorized_official_telephone_number": "302-744-9645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.