Sleep Disorders Center of Wyoming Valley, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

077098 Issued in PA

Legal business name

SLEEP DISORDERS CENTER OF WYOMING VALLEY, LLC

Practice address

190 Welles St
Suite 116
Forty Fort, PA 18704-4968

Phone

(570) 331-2651

Fax

(570) 331-2653

NPI assigned

Jan 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John J Della Rosa, M.D.NPI 1487650297

Title

President

Phone

(570) 331-2651

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• John Joseph Della Rosa, M.D.

  • Neurology Physician
  • Forty Fort, PA
  • NPI 1487650297
  NPD (past) Authorized official
• Michael A Olenginski, D.O.

  • Otolaryngology Physician
  • Kingston, PA
  • NPI 1881624856
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235118522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 WELLES ST",
            "address_2": "SUITE 116",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044968",
            "telephone_number": "570-331-2651",
            "fax_number": "570-331-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 WELLES ST",
            "address_2": "SUITE 116",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044968",
            "telephone_number": "570-331-2651",
            "fax_number": "570-331-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DISORDERS CENTER OF WYOMING VALLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELLA ROSA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-331-2651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "077098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Teresa Shermanski
• Louis R. Sieminski, PH.D.
• Jennifer Silva
• Casey Sims
• Jenna Lynn Skrutski
• Erica Lynne Sorber-Daub
• Laura Elizabeth Stempien, LBS
• Stephen M. Lawrence ,DMD, P.C.
• Kimberly Stokes, LPC
• Surgical Specialty Center of Northeastern Pennsylvania, LLC

• Clinical Medical Laboratory in Forty Fort, PA
• Providers in Forty Fort, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.