Organization Active NPI

Citiwide Comprehensive Sleep Center, LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Roslyn Heights, NY
National Provider Identifier
1790084333
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
003798 Issued in NY
Legal business name
CITIWIDE COMPREHENSIVE SLEEP CENTER, LLC
Practice address
216 Mineola (Willis) Ave.
Roslyn Heights, NY 11577
Phone
(516) 277-1614
Fax
(516) 277-1616
NPI assigned
Mar 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Herold Pierre Louis
Title
Owner
Phone
(516) 277-1614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X 003798 NY Primary

Addresses

Primary practice location

216 Mineola (Willis) Ave.
Roslyn Heights, NY 11577

Mailing address

216 Mineola (Willis) Ave.
Roslyn Heights, NY 11577
Phone (516) 277-1614

National Provider Directory

National Provider Directory
Tax ID family
Citiwide Comprehensive Sleep Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1790084333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 MINEOLA (WILLIS) AVE.",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "11577",
            "telephone_number": "516-277-1614",
            "fax_number": "516-277-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MINEOLA (WILLIS) AVE.",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "11577",
            "telephone_number": "516-277-1614",
            "fax_number": "516-277-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIWIDE COMPREHENSIVE SLEEP CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "LOUIS",
        "authorized_official_first_name": "HEROLD",
        "authorized_official_middle_name": "PIERRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-277-1614"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "003798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.