Sleep America Medical PC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

192569 Issued in NY

Legal business name

SLEEP AMERICA MEDICAL PC

Practice address

1911 Richmond Ave
Ste N2ND
Staten Island, NY 10314-3913

Phone

(718) 645-6434

Fax

(718) 382-5252

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Soni Prahbhat, MD

Title

Owner

Phone

(718) 645-6434

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1306003959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 RICHMOND AVE",
            "address_2": "STE N2ND",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143913",
            "telephone_number": "718-645-6434",
            "fax_number": "718-382-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 RICHMOND AVE",
            "address_2": "STE N2ND",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143913",
            "telephone_number": "718-645-6434",
            "fax_number": "718-382-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP AMERICA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "PRAHBHAT",
        "authorized_official_first_name": "SONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-645-6434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NY",
            "license": "192569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02236428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joelle Sleiman, MD
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• Keith Sliger
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• Sleep Disorder Diagnostic Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Sleep Disorder Diagnostic Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.