Organization Active NPI

Hackensack Sleep Center Partners LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Hackensack, NJ
National Provider Identifier
1730304189
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
HACKENSACK SLEEP CENTER PARTNERS LLC
Practice address
170 Prospect Ave Ste 5
Hackensack, NJ 07601-1834
Phone
(201) 880-0616
Fax
(201) 880-8534
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Mr. John Spratt
Title
Manager
Phone
(860) 434-9398

Specialties & licenses 1

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

Addresses

Primary practice location

170 Prospect Ave Ste 5
Hackensack, NJ 07601-1834

Mailing address

60 Lyme St
Old Lyme, CT 06371-2332
Phone (860) 434-9398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090227000196 NJ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9830255884 Practice locations: Hackensack, NJ
O20141106000155 NJ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9830255884 Practice locations: Hackensack, NJ

National Provider Directory

National Provider Directory

Locations

170 Prospect Ave
Ste 5
Hackensack, NJ 07601
Phone (201) 880-0616

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1730304189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LYME ST",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063712332",
            "telephone_number": "860-434-9398",
            "fax_number": "860-434-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PROSPECT AVE STE 5",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011834",
            "telephone_number": "201-880-0616",
            "fax_number": "201-880-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK SLEEP CENTER PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "SPRATT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-434-9398",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.