Sleephub at Verona LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

MB53988 Issued in NJ

Legal business name

SLEEPHUB AT VERONA LLC

Practice address

96 Pompton Ave
Verona, NJ 07044-2917

Phone

(973) 571-0200

NPI assigned

Aug 18, 2010

Last updated

Apr 24, 2014By 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

Mr. Jeffrey A Miller, D.O.

Title

Owner

Phone

(973) 571-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1508171224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442917",
            "telephone_number": "973-571-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442917",
            "telephone_number": "973-571-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEPHUB AT VERONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-571-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NJ",
            "license": "MB53988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6171001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simply Chiropractic Verona LLC
• Paul William Sirna, M.D.
• Serena Siu, DO
• Kannan Sivaraju
• Gregory E Skroce, L.AC.
• Colleen Snyder, PA
• Mariusz Sobilo, PA-C
• Jiawei Song
• Brooke Myers Sorger, PH.D.
• Stephen Thomas Spates, MD

• Sleep Disorder Diagnostic Clinic/Center in Verona, NJ
• Providers in Verona, NJ by specialty
• Sleep Disorder Diagnostic Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.