NPIMap

Organization Active NPI

Wilkes Barre Sleep Solutions, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Wilkes Barre, PA
National Provider Identifier
1649221656
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
WILKES BARRE SLEEP SOLUTIONS, LLC
Practice address
22 E End Ctr
Wilkes Barre, PA 18702-6968
Phone
(570) 208-9070
Fax
(570) 208-9075
NPI assigned
May 15, 2006
Last updated
Jan 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Michael Amory
Title
President
Phone
(570) 208-9070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU

Addresses

Primary practice location

22 E End Ctr
Wilkes Barre, PA 18702-6968

Mailing address

22 E End Ctr
Wilkes Barre, PA 18702-6968
Phone (570) 208-9070

Other identifiers 4

IdentifierTypeStateIssuer
1904767OtherPABLUE SHIELD
7807909OtherPAAETNA
1018814760001MedicaidPA
820663OtherPAFIRST PRIORITY HEALTH

National Provider Directory

National Provider Directory

Locations

22 E End Ctr
Wilkes Barre, PA 18702
Phone (570) 208-9070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1649221656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 E END CTR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026968",
            "telephone_number": "570-208-9070",
            "fax_number": "570-208-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E END CTR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026968",
            "telephone_number": "570-208-9070",
            "fax_number": "570-208-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES BARRE SLEEP SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "AMORY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-208-9070"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1904767",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7807909",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018814760001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "820663",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.