Personalized Medicine and Sleep Medicine, L.L.C.

Primary specialty

Sleep Specialist (PhD)Taxonomy code 173F00000X

License

25MA06861200 Issued in NJ

Legal business name

PERSONALIZED MEDICINE AND SLEEP MEDICINE, L.L.C.

Practice address

628 Shrewsbury Avenue
Tinton Falls, NJ 07727

Phone

(732) 241-6242

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Stacy Herring

Title

Credentialing/Billing

Phone

(732) 492-7490

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1730423443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 SHREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 SHREWSBURY AVENUE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07727",
            "telephone_number": "732-241-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED MEDICINE AND SLEEP MEDICINE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING",
        "authorized_official_telephone_number": "732-492-7490",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "NJ",
            "license": "25MA06861200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Daniel Pearlson, PSY.D.
• Linda Marie Valas Pedro, DVM
• Sheila M. Penn, APRN,BC
• Caitlin Anne Penso, M.A
• Rebecca Perril, D.O.
• Alan Francis Pertchik, MD
• David C Peters, MD
• Frank J Picone, MD
• Brittany Pinter, LCSW
• Ryan James Plyler, MD

• Sleep Specialist (PhD) in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Sleep Specialist (PhD) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.