NPIMap

Organization Active NPI

Northern Lights Sleep Medicine, PC

  • Specialist
  • Plattsburgh, NY
National Provider Identifier
1851437339
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTHERN LIGHTS SLEEP MEDICINE, PC
Practice address
206 Cornelia St
Suite 307
Plattsburgh, NY 12901-2779
Phone
(518) 562-7705
Fax
(518) 562-7706
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
William Bruce Bunn, MD
Title
President
Phone
(518) 562-7705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X NY Primary

Addresses

Primary practice location

206 Cornelia St
Suite 307
Plattsburgh, NY 12901-2779

Mailing address

206 Cornelia St
Suite 307
Plattsburgh, NY 12901-2779
Phone (518) 562-7705

Other identifiers 1

IdentifierTypeStateIssuer
00608255MedicaidNY

Other names 1

  • Champlain Valley Pulmonary Associates, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

206 Cornelia St
Plattsburgh, NY 12901
Phone (518) 561-5516

206 Cornelia St
Ste 307
Plattsburgh, NY 12901
Phone (518) 562-7705

206 Cornelia St
Ste 207
Plattsburgh, NY 12901

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1851437339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CORNELIA ST",
            "address_2": "SUITE 307",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012779",
            "telephone_number": "518-562-7705",
            "fax_number": "518-562-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CORNELIA ST",
            "address_2": "SUITE 307",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012779",
            "telephone_number": "518-562-7705",
            "fax_number": "518-562-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTS SLEEP MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-562-7705",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00608255",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champlain Valley Pulmonary Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.