Organization Active NPI

Fort Stanwix Sleep Disorder Lab, PLLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Rome, NY
National Provider Identifier
1801110069
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
FORT STANWIX SLEEP DISORDER LAB, PLLC
Practice address
301 Black River Blvd N
Rome, NY 13440-5943
Phone
(315) 336-3353
Fax
(315) 336-3356
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Mohammed S Seedat, MD
Title
Physician
Phone
(315) 336-3353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

301 Black River Blvd N
Rome, NY 13440-5943

Mailing address

301 Black River Blvd N
Rome, NY 13440-5943
Phone (315) 336-3353

National Provider Directory

National Provider Directory

Locations

301 Black River Blvd N
Rome, NY 13440
Phone (315) 336-3353

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1801110069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BLACK RIVER BLVD N",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405943",
            "telephone_number": "315-336-3353",
            "fax_number": "315-336-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BLACK RIVER BLVD N",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405943",
            "telephone_number": "315-336-3353",
            "fax_number": "315-336-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT STANWIX SLEEP DISORDER LAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "SEEDAT",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "315-336-3353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.