Organization Active NPI

Sentry Laboratories LLC

  • Clinical Pathology/Laboratory Medicine Physician
  • Montvale, NJ
National Provider Identifier
1578290607
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
SENTRY LABORATORIES LLC
Practice address
1 Paragon Dr Ste 111
Montvale, NJ 07645-1744
Phone
(800) 385-1793
Fax
(201) 731-4978
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Mayer Pessin
Title
Coo
Phone
(800) 385-1793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0105X Primary

Addresses

Primary practice location

1 Paragon Dr Ste 111
Montvale, NJ 07645-1744

Mailing address

1 Paragon Dr Ste 111
Montvale, NJ 07645-1744
Phone (800) 385-1793

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2262909Sentry Laboratories1 Paragon Drive, Montvale, NJ 07645ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

1 Paragon Dr
Ste 111
Montvale, NJ 07645
Phone (800) 385-1793

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1578290607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARAGON DR STE 111",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451744",
            "telephone_number": "800-385-1793",
            "fax_number": "201-731-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARAGON DR STE 111",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451744",
            "telephone_number": "800-385-1793",
            "fax_number": "201-731-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTRY LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "PESSIN",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-385-1793"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.