Organization Active NPI

Persante Sleep Care, Inc.

  • Specialist
  • Mount Laurel, NJ
National Provider Identifier
1356398440
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PERSANTE SLEEP CARE, INC.
Doing business as
Persante Sleep care, Inc.
Practice address
130 Gaither Dr
Suite 124
Mount Laurel, NJ 08054-1715
Phone
(856) 234-0770
Fax
(856) 793-4924
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Mrs. Susan Stefanic
Title
Manager
Phone
(856) 234-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

130 Gaither Dr
Suite 124
Mount Laurel, NJ 08054-1715

Mailing address

130 Gaither Dr
Suite 124
Mount Laurel, NJ 08054-1715
Phone (856) 234-0770

Other names 1

  • Persante Sleep care, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20041217000002 NJ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1759348147 Practice locations: Westampton, NJ
O20120207000055 NJ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1759348147 1 other NPI on this enrollment
Practice locations: Sewell, NJ
O20120524000412 NJ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1759348147 Practice locations: Voorhees, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

2500 Wrangle Hill Rd
Ste 220
Bear, DE 19701
Phone (302) 437-6833

103 Wolf Creek Blvd
Ste 3
Dover, DE 19901
Phone (302) 674-2390

1110 Forrest Ave
Ste 102
Dover, DE 19904

457 Haddonfield Rd
Ste 520
Cherry Hill, NJ 08002
Phone (609) 662-5001

6712 Washington Ave
Ste 306
Egg Hbr Twp, NJ 08234
Phone (609) 662-5001

55 Schanck Rd
Ste B7
Freehold, NJ 07728
Phone (609) 662-5001

123 Highland Ave
Rm 3
Glen Ridge, NJ 07028

94 Brick Rd
Ste 103
Marlton, NJ 08053
Phone (856) 810-8920

200 E Park Dr
Ste 600
Mount Laurel, NJ 08054
Phone (856) 316-1204

130 Gaither Dr
Ste 120
Mount Laurel, NJ 08054

130 Gaither Dr
Ste 125
Mount Laurel, NJ 08054

722 Executive Dr
Ste 722
Princeton, NJ 08540
Phone (609) 622-5001

239 Hurffville Crosskeys Rd
Ste 375
Sewell, NJ 08080
Phone (855) 633-6822

81 Veronica Ave
Ste 201A
Somerset, NJ 08873

2446 Church Rd
Unit 12
Toms River, NJ 08753
Phone 8562340770115

630 S Brewster Rd
Ste A1
Vineland, NJ 08361
Phone (609) 662-5001

200 Bowman Dr
Ste E255
Voorhees, NJ 08043
Phone (855) 633-6822

2301 E Evesham Rd
Ste 604
Voorhees, NJ 08043
Phone 8007533779121

4513 Pennell Rd
Aston, PA 19014

10101 Academy Rd
Ste 101
Philadelphia, PA 19114
Phone (267) 616-9457

Practitioners & affiliated clinicians

Practitioners 4

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1356398440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GAITHER DR",
            "address_2": "SUITE 124",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541715",
            "telephone_number": "856-234-0770",
            "fax_number": "856-793-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GAITHER DR",
            "address_2": "SUITE 124",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541715",
            "telephone_number": "856-234-0770",
            "fax_number": "856-793-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSANTE SLEEP CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "STEFANIC",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-234-0770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Persante Sleep care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.