Organization Active NPI

Poly-Tech Sleep Services LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1518197847
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
YM005236L Issued in PA
Legal business name
POLY-TECH SLEEP SERVICES LLC
Practice address
1718 Welsh Rd
Second Floor, Suite C
Philadelphia, PA 19115-4213
Phone
(215) 676-2334
Fax
(215) 676-2366
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Dr. Prabhakara R Tumpati, M.D.
Title
Owner/President
Phone
(267) 864-6101

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RB0002X MD432380 PA
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X MD432380 PA
Sleep Disorder Diagnostic Clinic/Center 261QS1200X YM005236L PA Primary

Addresses

Primary practice location

1718 Welsh Rd
Second Floor, Suite C
Philadelphia, PA 19115-4213

Mailing address

1718 Welsh Rd
Second Floor, Suite C
Philadelphia, PA 19115-4213
Phone (215) 676-2334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1518197847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 WELSH RD",
            "address_2": "SECOND FLOOR, SUITE C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154213",
            "telephone_number": "215-676-2334",
            "fax_number": "215-676-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 WELSH RD",
            "address_2": "SECOND FLOOR, SUITE C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154213",
            "telephone_number": "215-676-2334",
            "fax_number": "215-676-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLY-TECH SLEEP SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "TUMPATI",
        "authorized_official_first_name": "PRABHAKARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "267-864-6101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "PA",
            "license": "MD432380",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD432380",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "PA",
            "license": "YM005236L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.