Miller Place Neurology and Sleep Specialty PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MILLER PLACE NEUROLOGY AND SLEEP SPECIALTY PC

Practice address

595 Route 25a Ste 2
Miller Place, NY 11764-2648

Phone

(631) 238-8271

Fax

(631) 532-1908

NPI assigned

Jun 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Wahid Rashidzada, MDNPI 1346416021

Title

Owner/President

Phone

(631) 238-8271

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Complete Sleep Care Doing business as

Locations

Practitioners 1

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

• Wahid Rashidzada, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Miller Place, NY
  • NPI 1346416021
  NPD Authorized official

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1235797358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 ROUTE 25A STE 2",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642648",
            "telephone_number": "631-238-8271",
            "fax_number": "631-532-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ROUTE 25A STE 2",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642648",
            "telephone_number": "631-238-8271",
            "fax_number": "631-532-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PLACE NEUROLOGY AND SLEEP SPECIALTY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "RASHIDZADA",
        "authorized_official_first_name": "WAHID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "631-238-8271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200613180A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Sleep Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Complete Sleep Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katja Mercado, MA CCC-SLP
• Stephanie Marie Mercado
• Jennifer Mihalo, OTR/L
• Miller Place Acupuncture PC
• Miller Place Fire District
• Miller Place Physical Therapy PC
• Miller Place PT, Family Health NP and Chiropractic PLLC
• Miller Place Ufsd
• Miller Places Dental Associates
• Anthony Modesto, OD

• Neurology Physician in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.