Active NPI
Sleep & Neurological Diagnostic Center LLC
- Sleep Medicine (Psychiatry & Neurology) Physician
- Mountain Top, PA
National Provider Identifier
1821365099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 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 DirectoryNPI 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.