Organization Active NPI

Supreme Sleep LLC

  • Sleep Medicine (Family Medicine) Physician
  • Wayne, NJ
National Provider Identifier
1770448490
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
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

Updated by the provider on Dec 24, 2025

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

Authorized official

Name
Neola Gushway-HenryNPI 1386888766
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)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.