Sleep for Health-Medford LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

24299 Issued in NJ

Legal business name

SLEEP FOR HEALTH-MEDFORD LLC

Practice address

103 Old Marlton Pike
Suite 124
Medford, NJ 08055-8772

Phone

(609) 652-2255

NPI assigned

Aug 29, 2011

Organization subpart

No

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

Authorized official

Name

Lisa Mazzone

Title

Ceo

Phone

(609) 233-5736

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank A Pettisani Jr., DMD

  • General Practice Dentistry
  • Vineland, NJ
  • NPI 1851482004
  NPD (past)

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1790066264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 OLD MARLTON PIKE",
            "address_2": "SUITE 124",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "08055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 OLD MARLTON PIKE",
            "address_2": "SUITE 124",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558772",
            "telephone_number": "609-652-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP FOR HEALTH-MEDFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "MAZZONE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-233-5736"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NJ",
            "license": "24299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Silhanek, DPT
• Edward M Silver, MSW
• Frank W Simmons, BS PHARMACY, PHARM D
• Brandi Suzanne Simon-Dinapoli, OMT, AOMT-C
• Varunan Sivalingam, MD
• Mark R Slysh, DMD
• Morgan A Small
• Danielle J Smetts, OTR/L
• Charlene Marie Smith, MD
• Erica Lynn Smith

• Sleep Disorder Diagnostic Clinic/Center in Medford, NJ
• Providers in Medford, NJ by specialty
• Sleep Disorder Diagnostic Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.