Organization 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
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONWIDE SLEEP HOLDINGS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008039999MedicaidCT

Other names 1

  • Eastern Sleep & Respiratory Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.