Organization Active NPI

Second Home Sleep Lab Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Staten Island, NY
National Provider Identifier
1619135902
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SECOND HOME SLEEP LAB INC
Practice address
1911 Richmond Ave Ste 2102ND
Staten Island, NY 10314-3913
Phone
(718) 494-7769
Fax
(718) 494-7767
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Igor Katz
Title
President
Phone
(718) 645-6434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

1911 Richmond Ave Ste 2102ND
Staten Island, NY 10314-3913

Mailing address

1911 Richmond Ave
Suite210, 2ND Floor
Staten Island, NY 10314
Phone (718) 494-7769

National Provider Directory

National Provider Directory

Locations

1911 Richmond Ave
Ste 2102ND
Staten Island, NY 10314
Phone (718) 494-7769

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1619135902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 RICHMOND AVE",
            "address_2": "SUITE210, 2ND FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-494-7769",
            "fax_number": "718-494-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 RICHMOND AVE STE 2102ND",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143913",
            "telephone_number": "718-494-7769",
            "fax_number": "718-494-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND HOME SLEEP LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-645-6434"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.