Active NPI
Alliance Healthcare Systems, LLC
Doing business as Northeast Sleep Center
- Sleep Medicine (Psychiatry & Neurology) Physician
- Philadelphia, PA
National Provider Identifier
1750615126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- Legal business name
- ALLIANCE HEALTHCARE SYSTEMS, LLC
- Doing business as
- Northeast Sleep Center
- Practice address
- 9924 E. Roosevelt Blvd.
Philadelphia, PA 19115 - Phone
- (215) 673-9260
- NPI assigned
- Oct 1, 2009
- Last updated
- Sep 8, 2010
- 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
- Dr. Raoul Biniaurishvili, M.D.
- Title
- Medical Director
- Phone
- (215) 673-9260
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | NU | ||
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | NU | Primary |
Addresses
Primary practice location
9924 E. Roosevelt Blvd.
Philadelphia, PA 19115
Mailing address
9924 E. Roosevelt Blvd.
Philadelphia, PA 19115
Phone (215) 673-9260
Other names 1
- Northeast Sleep Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283904000000",
"number": "1750615126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9924 E. ROOSEVELT BLVD.",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19115",
"telephone_number": "215-673-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9924 E. ROOSEVELT BLVD.",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19115",
"telephone_number": "215-673-9260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE HEALTHCARE SYSTEMS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-01",
"last_updated": "2010-09-08",
"status": "A",
"authorized_official_last_name": "BINIAURISHVILI",
"authorized_official_first_name": "RAOUL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "215-673-9260",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Northeast Sleep Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.