Organization Active NPI

JB-1MC LLC

Doing business as American Sleep Medicine

  • Sleep Disorder Diagnostic Clinic/Center
  • Livingston, NJ
National Provider Identifier
1184890881
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
JB-1MC LLC
Doing business as
American Sleep Medicine
Practice address
5 N Regent Street
Suite 512
Livingston, NJ 07039
Phone
(973) 422-9030
Fax
(973) 422-9034
NPI assigned
May 2, 2008
Organization subpart
Yes
Parent organization
AMERICAN SLEEP MEDICINE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Mr. Jim Evanger
Title
President
Phone
(904) 517-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

5 N Regent Street
Suite 512
Livingston, NJ 07039

Mailing address

7900 Belfort Parkway
Suite 301
Jacksonville, FL 32256-6978
Phone (904) 517-5500

Other names 1

  • American Sleep Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
American Sleep Medicine LLC

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1184890881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 BELFORT PARKWAY",
            "address_2": "SUITE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566978",
            "telephone_number": "904-517-5500",
            "fax_number": "904-517-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N REGENT STREET",
            "address_2": "SUITE 512",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-422-9030",
            "fax_number": "973-422-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB-1MC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN SLEEP MEDICINE LLC",
        "enumeration_date": "2008-05-02",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "EVANGER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-517-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.