Organization Active NPI

Flagler Diagnostic & Sleeping Disorder, Inc, Inc

  • Multi-Specialty Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1184188690
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
FLAGLER DIAGNOSTIC & SLEEPING DISORDER, INC, INC
Practice address
1001 W Cypress CRK Rd Ste 104
Fort Lauderdale, FL 33309-1947
Phone
(954) 306-3760
NPI assigned
Jan 29, 2019
Last updated
Jan 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Oleg Cheberko
Title
Owner
Phone
(917) 607-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1001 W Cypress CRK Rd Ste 104
Fort Lauderdale, FL 33309-1947

Mailing address

1001 W Cypress CRK Rd Ste 104
Fort Lauderdale, FL 33309-1947
Phone (954) 306-3760

Other identifiers 2

IdentifierTypeStateIssuer
018211800MedicaidFL
8433OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Flagler Diagnostic and Sleeping Disorder Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1184188690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W CYPRESS CRK RD STE 104",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091947",
            "telephone_number": "954-306-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W CYPRESS CRK RD STE 104",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091947",
            "telephone_number": "954-306-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER DIAGNOSTIC & SLEEPING DISORDER, INC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "CHEBERKO",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-607-1191"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018211800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "8433",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.