Northeast Insomnia and Sleep Medicine,PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

196563 Issued in NY

Legal business name

NORTHEAST INSOMNIA AND SLEEP MEDICINE,PLLC

Practice address

5947 Amboy Rd.
Second Floor
Staten Island, NY 10309-3118

Phone

(718) 605-2970

Fax

(718) 605-7180

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Ahmed Aly Abdelfadil, M.D.

Title

Director

Phone

(718) 761-2950

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Northeast Insomnia and Sleep Medicine PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northeast Insomnia & Sleep Medicine,PLLC

  • Pulmonary Disease Physician
  • Kew Gardens, NY
  • NPI 1639385727
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dosik Kim, M.D.

  • Pulmonary Disease Physician
  • Staten Island, NY
  • NPI 1336237817

  Critical Care Medicine

  NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1447261870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SQUAN SONG LANE",
            "address_2": "SECOND FLOOR",
            "city": "COLTS NECK",
            "state": "NY",
            "postal_code": "077221820",
            "telephone_number": "718-605-2970",
            "fax_number": "718-605-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5947 AMBOY RD.",
            "address_2": "SECOND FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093118",
            "telephone_number": "718-605-2970",
            "fax_number": "718-605-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST INSOMNIA AND SLEEP MEDICINE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "ABDELFADIL",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "ALY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-761-2950",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "196563",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "196563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Physical Therapy of Si, PC
• North Shore PT of Ny PC
• North Shore PT of Ny PC
• North Shore Rescue Squad No. 1, Inc.
• Dorothy Marie North, MS
• Janet E Norton, M.D.,FACS
• Stacy Nicole Jude Norton, RN
• Esohe Noruwa
• Yvonne Noruwa
• Vincent Notabartolo, DC, CCSP

• Pulmonary Disease Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.