Active NPI
Complete Sleep Care P.a.
- Sleep Medicine (Psychiatry & Neurology) Physician
- Miller Place, NY
National Provider Identifier
1366703191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- Legal business name
- COMPLETE SLEEP CARE P.A.
- Practice address
- 595 Route 25a Ste 2
Miller Place, NY 11764-2648 - Phone
- (312) 388-2716
- Fax
- (631) 532-1908
- NPI assigned
- Jun 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wahid Rashidzada, MD
- Title
- MD
- Phone
- (631) 238-8271
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | Primary |
Addresses
Primary practice location
595 Route 25a Ste 2
Miller Place, NY 11764-2648
Mailing address
595 Route 25a Ste 2
Miller Place, NY 11764-2648
Phone (631) 238-8271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04149937 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7555 W 160th St
Overland Park, KS 66085
Phone (913) 766-0293
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Miller Place, NY
- NPI 1346416021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549929600000",
"number": "1366703191",
"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": "312-388-2716",
"fax_number": "631-532-1908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE SLEEP CARE P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-07",
"last_updated": "2019-02-12",
"status": "A",
"authorized_official_last_name": "RASHIDZADA",
"authorized_official_first_name": "WAHID",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "631-238-8271",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084S0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04149937",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miller Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.