Pulmonary and Sleep Physicians of South Jersey, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PULMONARY AND SLEEP PHYSICIANS OF SOUTH JERSEY, PA

Practice address

204 Ark Rd BLDG I
Ste 206
Mount Laurel, NJ 08054-3100

Phone

(856) 778-4640

Fax

(856) 778-0119

NPI assigned

Dec 14, 2006

Last updated

May 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Ryan, M.D.NPI 1659356905

Title

President

Phone

(856) 778-4640

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Kathleen L Ryan, M.D.

  • Specialist
  • Walpole, MA
  • NPI 1659356905
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1750443214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ARK RD BLDG I",
            "address_2": "STE 206",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543100",
            "telephone_number": "856-778-4640",
            "fax_number": "856-778-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ARK RD BLDG I",
            "address_2": "STE 206",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543100",
            "telephone_number": "856-778-4640",
            "fax_number": "856-778-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND SLEEP PHYSICIANS OF SOUTH JERSEY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-778-4640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2818604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Brain and Spine LLC (Reclaimability Pain Services)
• Primac Care LLC
• Julia Prince
• John Profaci
• Emily Proudfoot
• Pulse Cardiovascular P.C.
• Bernadette Quigley
• Sabrina Rabau, D.O.
• David Evan Rabin, RPH
• Linda Karen Rademaker, MS CCC SLP

• Specialist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.