Organization Active NPI

Sleep & Neurological Diagnostic Center LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Mountain Top, PA
National Provider Identifier
1821365099
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
SLEEP & NEUROLOGICAL DIAGNOSTIC CENTER LLC
Practice address
20 S Mountain Blvd
Mountain Top, PA 18707-1123
Phone
(570) 474-5599
Fax
(570) 474-5499
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Dr. Shafiq Ur Rahman, M.D.
Title
Owner
Phone
(570) 474-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X Primary

Addresses

Primary practice location

20 S Mountain Blvd
Mountain Top, PA 18707-1123

Mailing address

PO Box 100
Mountain Top, PA 18707-0100
Phone (570) 208-5530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1821365099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187070100",
            "telephone_number": "570-208-5530",
            "fax_number": "570-208-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S MOUNTAIN BLVD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071123",
            "telephone_number": "570-474-5599",
            "fax_number": "570-474-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP & NEUROLOGICAL DIAGNOSTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "SHAFIQ",
        "authorized_official_middle_name": "UR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-474-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Top, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.