Kingdom Sleep LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

KINGDOM SLEEP LLC

Practice address

1185 Gen Leroy Manor Rd
Cadyville, NY 12918-3117

Phone

(518) 335-0799

NPI assigned

Jan 13, 2026

Last updated

Jan 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Isaac De la Cruz, RPSGTNPI 1649139502

Title

Owner/Ceo

Phone

(518) 335-0799

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Isaac De la Cruz, RPSGT

  • Sleep Disorder Diagnostic Clinic/Center
  • Cadyville, NY
  • NPI 1649139502
  NPD Authorized official
• Euhan John Lee, M.D.

  • Pulmonary Disease Physician
  • Monongahela, PA
  • NPI 1053524991
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1437017944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 TRACK SIDE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013089",
            "telephone_number": "518-335-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 GEN LEROY MANOR RD",
            "city": "CADYVILLE",
            "state": "NY",
            "postal_code": "129183117",
            "telephone_number": "518-335-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM SLEEP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "518-335-0799",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Gertsch-Cochran
• Lindsey Rose-Ann Gilmore
• Shannon Elizabeth Goddeau
• Lauren Heath, MSN, RN
• Jill Anne Johnson
• Tiffany M Lacy, LPN
• Kaitlyn Lussier
• Cynthia Marie Moran
• Renee Lee Pelkey
• Jaimie Lynn Plumadore

• Sleep Disorder Diagnostic Clinic/Center in Cadyville, NY
• Providers in Cadyville, NY by specialty
• Sleep Disorder Diagnostic Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.