Organization Active NPI

Princeton Sleep Medicine, LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Birmingham, AL
National Provider Identifier
1194031161
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
PRINCETON SLEEP MEDICINE, LLC
Practice address
801 Princeton Ave SW
Pob I; Suite 332
Birmingham, AL 35211-1310
Phone
(205) 781-3752
Fax
(205) 788-7244
NPI assigned
Aug 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Stuart J. Padove, M.D.
Title
President
Phone
(205) 967-6142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

801 Princeton Ave SW
Pob I; Suite 332
Birmingham, AL 35211-1310

Mailing address

801 Princeton Ave SW
Pob I; Suite 332
Birmingham, AL 35211-1310
Phone (205) 781-3752

Other identifiers 1

IdentifierTypeStateIssuer
1194031161/122048MedicaidAL

National Provider Directory

National Provider Directory

Locations

919 Medical Center Dr
Bessemer, AL 35022
Phone (205) 424-1160

5209 Princeton Way
Ste 40
Hoover, AL 35226
Phone (205) 682-2925

5209 Princeton Way
Ste 401
Hoover, AL 35226
Phone (205) 780-4330

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1194031161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "POB I; SUITE 332",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-781-3752",
            "fax_number": "205-788-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "POB I; SUITE 332",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-781-3752",
            "fax_number": "205-788-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON SLEEP MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "PADOVE",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-967-6142",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194031161/122048",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.