South Jersey Sleep Disorders Center, LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

25MB07337300 Issued in NJ

Legal business name

SOUTH JERSEY SLEEP DISORDERS CENTER, LLC

Practice address

120 W New Jersey Ave
Long Beach Township, NJ 08008-2764

Phone

(609) 413-1043

Fax

(609) 492-4798

NPI assigned

Feb 23, 2007

Last updated

Nov 10, 2010By 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

Dr. Dawn Marie Kennedy-Little, DONPI 1316994601

Title

Physician

Phone

(609) 413-1043

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Dawn Marie Kennedy-Little, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Long Beach Township, NJ
  • NPI 1316994601
  Authorized official Same address or phone

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1487780706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W NEW JERSEY AVE",
            "city": "LONG BEACH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080082764",
            "telephone_number": "609-413-1043",
            "fax_number": "609-492-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W NEW JERSEY AVE",
            "city": "LONG BEACH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080082764",
            "telephone_number": "609-413-1043",
            "fax_number": "609-492-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY SLEEP DISORDERS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "KENNEDY-LITTLE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-413-1043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MB07337300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rein Pulz, L.AC.
• Elise Rubin
• Alena M. Sabatelli, NP
• Todd C Schmoll, D.O.
• Kimberly Kamhi Sclarow, MA, BCBA
• Sara Watson

• Sleep Medicine (Internal Medicine) Physician in Long Beach Township, NJ
• Providers in Long Beach Township, NJ by specialty
• Sleep Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.