Custom Latex Sleep Products, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CUSTOM LATEX SLEEP PRODUCTS, LLC

Practice address

445 River Rd
Shelton, CT 06484-4508

Phone

(203) 567-4884

Fax

(203) 567-4886

NPI assigned

Apr 15, 2009

Organization subpart

No

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

Authorized official

Name

Robert Zukowski

Title

President/Owner

Phone

(203) 567-4884

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1598908857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 RIVER RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844508",
            "telephone_number": "203-567-4884",
            "fax_number": "203-567-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 RIVER RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844508",
            "telephone_number": "203-567-4884",
            "fax_number": "203-567-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM LATEX SLEEP PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "ZUKOWSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "203-567-4884"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dylan Joseph D'Addio, DPT
• Orlando Dacosta, REGISTERED NURSE
• Mark Daley Jr.
• James J Dalfino, D.C.

• Durable Medical Equipment & Medical Supplies in Shelton, CT
• Providers in Shelton, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.