Organization Active NPI

Adjua Snoring & Sleep Apnea Services

  • Durable Medical Equipment & Medical Supplies
  • Phila, PA
National Provider Identifier
1083010995
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DS023289L Issued in PA
Legal business name
ADJUA SNORING & SLEEP APNEA SERVICES
Practice address
5201 N Broad St
Phila, PA 19141-1627
Phone
(215) 329-5512
Fax
(215) 329-0401
NPI assigned
Nov 5, 2014
Last updated
Nov 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Debra Vivian Irvin, DDSNPI 1497735666
Title
Owner
Phone
(215) 329-5512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DS023289L PA Primary

Addresses

Primary practice location

5201 N Broad St
Phila, PA 19141-1627

Mailing address

5201 N Broad St
Phila, PA 19141-1627
Phone (215) 329-5512

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1083010995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 N BROAD ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191411627",
            "telephone_number": "215-329-5512",
            "fax_number": "215-329-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 N BROAD ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191411627",
            "telephone_number": "215-329-5512",
            "fax_number": "215-329-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUA SNORING & SLEEP APNEA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-329-5512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "DS023289L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.