Organization Active NPI

Comprehensive Medical Diagnostics, L.L.C.

  • Sleep Disorder Diagnostic Clinic/Center
  • East Windsor, NJ
National Provider Identifier
1144468638
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
24300 Issued in NJ
Legal business name
COMPREHENSIVE MEDICAL DIAGNOSTICS, L.L.C.
Practice address
300B Princeton Hightstown Rd
Suite205
East Windsor, NJ 08520-1400
Phone
(609) 490-1444
Fax
(609) 490-1133
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Mrs. Hayam T Elshami
Title
Owner
Phone
(609) 490-1444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 24300 NJ Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

300B Princeton Hightstown Rd
Suite205
East Windsor, NJ 08520-1400

Mailing address

300B Princeton Hightstown Rd
Suite 205
East Windsor, NJ 08520-1400
Phone (609) 490-1444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090811000060 NJ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6901950930 Practice locations: East Windsor, NJ

National Provider Directory

National Provider Directory

Locations

300B Princeton Hightstown Rd
Ste 205
East Windsor, NJ 08520
Phone (609) 490-1444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1144468638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300B PRINCETON HIGHTSTOWN RD",
            "address_2": "SUITE 205",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201400",
            "telephone_number": "609-490-1444",
            "fax_number": "609-490-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B PRINCETON HIGHTSTOWN RD",
            "address_2": "SUITE205",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201400",
            "telephone_number": "609-490-1444",
            "fax_number": "609-490-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL DIAGNOSTICS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "ELSHAMI",
        "authorized_official_first_name": "HAYAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-490-1444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NJ",
            "license": "24300",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.