Active NPI
Digitrace Care Services Inc
- Sleep Disorder Diagnostic Clinic/Center
- New Hyde Park, NY
National Provider Identifier
1396859518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- DIGITRACE CARE SERVICES INC
- Practice address
- 1983 Marcus Ave
Suite E-134
New Hyde Park, NY 11042-1016 - Phone
- (516) 326-0629
- Fax
- (516) 326-0516
- NPI assigned
- Aug 17, 2006
- 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
- Mr. Carl R. Iberger
- Title
- Evp Cfo
- Phone
- (978) 536-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
1983 Marcus Ave
Suite E-134
New Hyde Park, NY 11042-1016
Mailing address
200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69644 | Other | NY | GHI PPO ALTERNATE |
| 5503887 | Other | NY | GHI PPO |
| 27782 | Other | NY | GHI-HMO |
| AZ00855 | Other | NY | MEDICAL DRS OF NY |
| P00865528 | Other | NY | RR MEDICARE |
| 8011510 | Other | NY | CIGNA |
| A2590237 | Other | NY | OXFORD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324425600000",
"number": "1396859518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE PL",
"address_2": "SUITE 5B",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603840",
"telephone_number": "978-536-7400",
"fax_number": "978-535-9757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1983 MARCUS AVE",
"address_2": "SUITE E-134",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421016",
"telephone_number": "516-326-0629",
"fax_number": "516-326-0516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGITRACE CARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2011-12-21",
"status": "A",
"authorized_official_last_name": "IBERGER",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "EVP CFO",
"authorized_official_telephone_number": "978-536-7400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO ALTERNATE",
"identifier": "69644",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "5503887",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI-HMO",
"identifier": "27782",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL DRS OF NY",
"identifier": "AZ00855",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00865528",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8011510",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A2590237",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.