Organization Active NPI

Sleep Disorder Center of Wyoming Valley

  • Sleep Medicine (Internal Medicine) Physician
  • Wilkes Barre, PA
National Provider Identifier
1194834606
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD034081E Issued in PA
Legal business name
SLEEP DISORDER CENTER OF WYOMING VALLEY
Practice address
1065 Highway 315
Suite 202
Wilkes Barre, PA 18702-6941
Phone
(570) 829-6900
Fax
(570) 829-0122
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Robert Potorski, M.D.
Title
President
Phone
(570) 288-5441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X MD034081E PA Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Addresses

Primary practice location

1065 Highway 315
Suite 202
Wilkes Barre, PA 18702-6941

Mailing address

610 Wyoming Ave
Kingston, PA 18704-3702
Phone (570) 288-5441

National Provider Directory

National Provider Directory

Locations

1065 Highway 315 Blvd
Ste 202
Wilkes Barre, PA 18702
Phone (570) 829-6900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1194834606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 HIGHWAY 315",
            "address_2": "SUITE 202",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026941",
            "telephone_number": "570-829-6900",
            "fax_number": "570-829-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DISORDER CENTER OF WYOMING VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "POTORSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-288-5441",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD034081E",
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.