NPIMap

Organization Active NPI

Custom Sleep Therapies PC

  • Dentist
  • Mullica Hill, NJ
National Provider Identifier
1689199697
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02661100 Issued in NJ
Legal business name
CUSTOM SLEEP THERAPIES PC
Practice address
4 Burton LN Ste 100
Mullica Hill, NJ 08062-9441
Phone
(856) 241-7634
NPI assigned
Aug 10, 2017
Last updated
Aug 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Authorized official

Name
Dr. Upinder Dhillon, DMDNPI 1700917978
Title
President
Phone
(856) 241-7634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22DI02661100 NJ Primary

Addresses

Primary practice location

4 Burton LN Ste 100
Mullica Hill, NJ 08062-9441

Mailing address

4 Burton LN Ste 100
Mullica Hill, NJ 08062-9441

National Provider Directory

National Provider Directory

Locations

4 Burton Ln
Ste 100
Mullica Hill, NJ 08062
Phone (856) 241-3838

1300 Macdade Blvd
Unit 5
Woodlyn, PA 19094
Phone (608) 697-3087

Practitioners & affiliated clinicians

Practitioners 11

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": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1689199697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BURTON LN STE 100",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BURTON LN STE 100",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629441",
            "telephone_number": "856-241-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM SLEEP THERAPIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "UPINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-241-7634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02661100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.