Active NPI
Sleep Medicine Specialist New York, P.C.
- Sleep Medicine (Internal Medicine) Physician
- Saint Paul, MN
National Provider Identifier
1396605291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- Legal business name
- SLEEP MEDICINE SPECIALIST NEW YORK, P.C.
- Practice address
- 1385 Phalen Blvd
Saint Paul, MN 55106-2126 - Phone
- (512) 866-1812
- NPI assigned
- Nov 13, 2025
- Last updated
- Nov 13, 2025
- 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
- Connor L Walsh
- Title
- Sr Director of Clinical Operations
- Phone
- (845) 821-4574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | NU | Primary |
Addresses
Primary practice location
1385 Phalen Blvd
Saint Paul, MN 55106-2126
Mailing address
1385 Phalen Blvd
Saint Paul, MN 55106-2126
Phone (512) 866-1812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pulmonary Disease Physician
- Rochester, MN
- NPI 1861468639
NY, Sleep Medicine
-
- Sleep Medicine (Family Medicine) Physician
- Richmond, VA
- NPI 1871169078
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762992000000",
"number": "1396605291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1385 PHALEN BLVD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551062126",
"telephone_number": "512-866-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1385 PHALEN BLVD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551062126",
"telephone_number": "512-866-1812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP MEDICINE SPECIALIST NEW YORK, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-13",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "CONNOR",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SR DIRECTOR OF CLINICAL OPERATIONS",
"authorized_official_telephone_number": "845-821-4574"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.