Organization Active NPI

Delaware Sleep Disorder Centers, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Wilmington, DE
National Provider Identifier
1184954356
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
DELAWARE SLEEP DISORDER CENTERS, LLC
Practice address
701 Foulk Rd
Suite 1G
Wilmington, DE 19803-3733
Phone
(877) 335-7533
NPI assigned
Jan 11, 2010
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Lyron Deputy, APNNPI 1134441702
Title
Ceo
Phone
(302) 652-5109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

701 Foulk Rd
Suite 1G
Wilmington, DE 19803-3733

Mailing address

620 Stanton Christiana Rd Ste 101
Newark, DE 19713-2134
Phone (302) 449-7484

Other identifiers 1

IdentifierTypeStateIssuer
1518038264MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150327000802 DE Part B Supplier - Clinic/Group Practice 6204911662 Receives reassigned benefits from 16 practitioners
13 other NPIs on this enrollment
Practice locations: Lewes, DE; Wilmington, DE; Rehoboth Beach, DE; Newark, DE; Millsboro, DE; Milford, DE; Middletown, DE; Georgetown, DE…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Delaware Sleep Disorder Centers21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1184954356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD STE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132134",
            "telephone_number": "302-449-7484",
            "fax_number": "877-575-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 FOULK RD",
            "address_2": "SUITE 1G",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033733",
            "telephone_number": "877-335-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE SLEEP DISORDER CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "DEPUTY",
        "authorized_official_first_name": "LYRON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-652-5109",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518038264",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.