Passaic Sleep Medicine & Neurological Services PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

25MA08982100 Issued in NJ

Legal business name

PASSAIC SLEEP MEDICINE & NEUROLOGICAL SERVICES PC

Practice address

16 Pocono Rd Ste 205
Denville, NJ 07834-2907

Phone

(973) 928-3288

Fax

(973) 928-3286

NPI assigned

Sep 14, 2011

Last updated

Feb 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fawad Mian, M.D.NPI 1306006242

Title

President

Phone

(973) 928-3288

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fawad A Mian, MD

  • Neurology Physician
  • Denville, NJ
  • NPI 1306006242
  Authorized official Same address or phone
• John Bortolussi, D.C.

  • Chiropractor
  • Clifton, NJ
  • NPI 1730289729
  NPD (past)
• Shan M Nagendra, M.D.

  • Psychiatry Physician
  • Clifton, NJ
  • NPI 1164533659

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645920000000",
    "number": "1871875955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POCONO RD STE 205",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342907",
            "telephone_number": "973-330-6192",
            "fax_number": "973-928-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD STE 205",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342907",
            "telephone_number": "973-928-3288",
            "fax_number": "973-928-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC SLEEP MEDICINE & NEUROLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2022-02-27",
        "certification_date": "2022-02-27",
        "status": "A",
        "authorized_official_last_name": "MIAN",
        "authorized_official_first_name": "FAWAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-928-3288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08982100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Pallimulla
• Joanna Palumbo, PT, DPT
• Maryann S Panei, M.D.
• Jennifer L Panetta, MA, LAC
• Dhruv Uday Parekh
• Akash Patel, MD
• Disha J Patel, MD
• Divya R Patel, MD
• Gaurang Patel, M.D.
• Gaurav Patel, M.B.B.S.

• Neurology Physician in Denville, NJ
• Providers in Denville, NJ by specialty
• Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2022; 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.