Organization Active NPI

Pulmonary Health Consultants, LLC

  • Medical Specialty Clinic/Center
  • Millville, NJ
National Provider Identifier
1871962787
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25MA08707000 Issued in NJ
Legal business name
PULMONARY HEALTH CONSULTANTS, LLC
Practice address
1306 High St N
Millville, NJ 08332-2532
Phone
(856) 875-3630
Fax
(844) 717-1981
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Manuel Salas CunananNPI 1144474636
Title
Owner
Phone
(856) 875-3630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X
Medical Specialty Clinic/Center 261QM2500X 25MA08707000 NJ Primary

Addresses

Primary practice location

1306 High St N
Millville, NJ 08332-2532

Mailing address

1306 High St N
Millville, NJ 08332-2532
Phone (856) 875-3630

Other practice location 1

1100 Liberty Pl
Sicklerville, NJ 08081-5708
Phone (856) 875-3630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150922000202 NJ Part B Supplier - Clinic/Group Practice 5496062507 Receives reassigned benefits from 3 practitioners
Practice locations: Millville, NJ; Sicklerville, NJ

National Provider Directory

National Provider Directory

Locations

5429 Harding Hwy
Mays Landing, NJ 08330
Phone (609) 625-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12264/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1871962787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 HIGH ST N",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322532",
            "telephone_number": "856-875-3630",
            "fax_number": "844-717-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 HIGH ST N",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322532",
            "telephone_number": "856-875-3630",
            "fax_number": "844-717-1981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Liberty Pl",
            "address_purpose": "LOCATION",
            "city": "Sicklerville",
            "state": "NJ",
            "postal_code": "080815708",
            "country_code": "US",
            "telephone_number": "856-875-3630",
            "fax_number": "844-717-1981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PULMONARY HEALTH CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "CUNANAN",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "SALAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-875-3630"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA08707000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.