Active NPI
Sleep Disorders CTRS of the Mid Atlantic LLC
- Sleep Disorder Diagnostic Clinic/Center
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- SLEEP DISORDERS CTRS OF THE MID ATLANTIC LLC
- Practice address
- 15235 Shady Grove Rd
Ste 301
Rockville, MD 20850-6274 - Phone
- (301) 977-1662
- Fax
- (301) 977-1669
- NPI assigned
- Mar 10, 2008
- Last updated
- Oct 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James R Perlstrom, PHD
- Title
- President
- Phone
- (702) 752-7881
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | MD | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | MD |
Addresses
Primary practice location
15235 Shady Grove Rd
Ste 301
Rockville, MD 20850-6274
Mailing address
2235 Cedar LN
Suite 202
Vienna, VA 22182-5202
Phone (703) 752-7881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040526001149 | DC | Part B Supplier - Clinic/Group Practice | 2264413137 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rockville, MD; Vienna, VA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Sleep Disorder Diagnostic Clinic/Center
- Fairfax, VA
- NPI 1770753469
O20040526001149
National Provider Directory
National Provider Directory- Tax ID family
- Sleep Disorders CTRS of the Mid Atlantic LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Sleep Disorder Diagnostic Clinic/Center
- Annapolis, MD
- NPI 1538339221
-
- Sleep Disorder Diagnostic Clinic/Center
- Fairfax, VA
- NPI 1770753469
-
- Sleep Disorder Diagnostic Clinic/Center
- Manassas, VA
- NPI 1871763490
Locations
15235 Shady Grove Rd
Ste 301
Rockville, MD 20850
Phone (301) 977-1662
2235 Cedar Ln
Ste 201
Vienna, VA 22182
Phone (443) 305-6877
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.
-
- Psychologist
- Vienna, VA
- NPI 1760575765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224115200000",
"number": "1730359423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 CEDAR LN",
"address_2": "SUITE 202",
"city": "VIENNA",
"state": "VA",
"postal_code": "221825202",
"telephone_number": "703-752-7881",
"fax_number": "703-752-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15235 SHADY GROVE RD",
"address_2": "STE 301",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506274",
"telephone_number": "301-977-1662",
"fax_number": "301-977-1669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP DISORDERS CTRS OF THE MID ATLANTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-10",
"last_updated": "2008-10-16",
"status": "A",
"authorized_official_last_name": "PERLSTROM",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-752-7881",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "MD",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MD",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.