Active NPI
Gaylord Sleep Healthcenters of Connecticut LLC
Doing business as Eastern Sleep & Respiratory
- Durable Medical Equipment & Medical Supplies
- Walpole, MA
National Provider Identifier
1104200088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- GAYLORD SLEEP HEALTHCENTERS OF CONNECTICUT LLC
- Doing business as
- Eastern Sleep & Respiratory
- Practice address
- 277 South St Ste 1
Walpole, MA 02081-2731 - Phone
- (617) 999-9908
- Fax
- (866) 203-5459
- NPI assigned
- Jul 10, 2015
- Last updated
- Sep 7, 2021
- Organization subpart
- Yes
- Parent organization
- NATIONWIDE SLEEP HOLDINGS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter James Falkson
- Title
- Ceo
- Phone
- (857) 400-0044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | CT | Primary |
Addresses
Primary practice location
277 South St Ste 1
Walpole, MA 02081-2731
Mailing address
277 South St Ste 1
Walpole, MA 02081-2731
Phone (617) 999-9908
Other practice location 1
916 Pleasant St Ste 2
Norwood, MA 02062-4640
Phone (857) 400-0044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008039999 | Medicaid | CT |
Other names 1
- Eastern Sleep & Respiratory
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630972800000",
"number": "1104200088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 SOUTH ST STE 1",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020812731",
"telephone_number": "617-999-9908",
"fax_number": "866-203-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 SOUTH ST STE 1",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020812731",
"telephone_number": "617-999-9908",
"fax_number": "866-203-5459"
}
],
"practiceLocations": [
{
"address_1": "916 Pleasant St Ste 2",
"address_purpose": "LOCATION",
"city": "Norwood",
"state": "MA",
"postal_code": "020624640",
"country_code": "US",
"telephone_number": "857-400-0044",
"fax_number": "866-203-5459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GAYLORD SLEEP HEALTHCENTERS OF CONNECTICUT LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NATIONWIDE SLEEP HOLDINGS, INC",
"enumeration_date": "2015-07-10",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A",
"authorized_official_last_name": "FALKSON",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "857-400-0044"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008039999",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eastern Sleep & Respiratory",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Walpole, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.