Active NPI
Poly-Tech Sleep Services LLC
- Sleep Disorder Diagnostic Clinic/Center
- Philadelphia, PA
National Provider Identifier
1518197847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- License
- YM005236L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | MD432380 | PA | |
| Sleep Medicine (Internal Medicine) Physician | 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 DirectoryNPI 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.