Active NPI
Supreme Sleep LLC
- Sleep Medicine (Family Medicine) Physician
- Wayne, NJ
National Provider Identifier
1770448490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Family Medicine) Physician
- Legal business name
- SUPREME SLEEP LLC
- Practice address
- 155 Willowbrook Blvd
Wayne, NJ 07470-7032 - Phone
- (609) 736-0090
- NPI assigned
- Dec 16, 2025
- 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
- Neola Gushway-Henry
- Title
- MD
- Phone
- (609) 736-0090
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | Primary |
Addresses
Primary practice location
155 Willowbrook Blvd
Wayne, NJ 07470-7032
Mailing address
155 Willowbrook Blvd Ste 110
Wayne, NJ 07470-7033
National Provider Directory
National Provider DirectoryLocations
155 Willowbrook Blvd
Wayne, NJ 07470
Phone (215) 490-8830
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Medicine (Family Medicine) Physician
- Wayne, NJ
- NPI 1386888766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766534400000",
"number": "1770448490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 WILLOWBROOK BLVD STE 110",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 WILLOWBROOK BLVD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707032",
"telephone_number": "609-736-0090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPREME SLEEP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-16",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A",
"authorized_official_last_name": "GUSHWAY-HENRY",
"authorized_official_first_name": "NEOLA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "609-736-0090"
},
"taxonomies": [
{
"code": "207QS1201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.