Organization Active NPI

Healthy Sleep Medical Care PC

  • Sleep Specialist (PhD)
  • Bronx, NY
National Provider Identifier
1386008589
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
Legal business name
HEALTHY SLEEP MEDICAL CARE PC
Practice address
3427 Bruckner Blvd
Bronx, NY 10461-5248
Phone
(718) 304-7638
Fax
(718) 709-7711
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Mr. Eugene Shulman
Title
Office Manager
Phone
(718) 304-7638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD)Group: 193400000X SINGLE SPECIALTY GROUP 173F00000X NY Primary

Addresses

Primary practice location

3427 Bruckner Blvd
Bronx, NY 10461-5248

Mailing address

3427 Bruckner Blvd
Bronx, NY 10461-5248
Phone (718) 304-7638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160620002037 NY Part B Supplier - Clinic/Group Practice 5597056648 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1386008589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615248",
            "telephone_number": "718-304-7638",
            "fax_number": "718-709-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615248",
            "telephone_number": "718-304-7638",
            "fax_number": "718-709-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SLEEP MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "SHULMAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-304-7638",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.