Hackensack Sleep & Pulmonary Center LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

HACKENSACK SLEEP & PULMONARY CENTER LLC

Practice address

170 Prospect Ave Ste 20
Hackensack, NJ 07601-1840

Phone

(201) 996-0232

Fax

(201) 996-0095

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Fariborz AshtyaniNPI 1891762555

Title

Director

Phone

(201) 996-0232

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Hackensack Sleep And Pulmonary Center Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Fariborz Ashtyani, MD

  • Pulmonary Disease Physician
  • Hackensack, NJ
  • NPI 1891762555

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Deborah Anne Marie Goss, MD

  • Pulmonary Disease Physician
  • Hackensack, NJ
  • NPI 1790765949

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD
• Robert Chu Du Lee, MD

  • Pulmonary Disease Physician
  • Hackensack, NJ
  • NPI 1497830293
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1184745192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PROSPECT AVENUE",
            "address_2": "SUITE 20",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011840",
            "telephone_number": "201-996-0232",
            "fax_number": "201-996-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PROSPECT AVE STE 20",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011840",
            "telephone_number": "201-996-0232",
            "fax_number": "201-996-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK SLEEP & PULMONARY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "ASHTYANI",
        "authorized_official_first_name": "FARIBORZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-996-0232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117668",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackensack Sleep And Pulmonary Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Sleep Medicine (Internal Medicine) Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Sleep Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.