Organization Active NPI

Nutmeg Sleep Lab

  • Sleep Disorder Diagnostic Clinic/Center
  • East Hartford, CT
National Provider Identifier
1891016176
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
NUTMEG SLEEP LAB
Practice address
478 Burnside Ave
East Hartford, CT 06108-2406
Phone
(870) 528-7161
Fax
(860) 528-7163
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Mahmood Hasan Yekta, M.D.
Title
Owner
Phone
(860) 528-7161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

478 Burnside Ave
East Hartford, CT 06108-2406

Mailing address

478 Burnside Ave
East Hartford, CT 06108-2406
Phone (870) 528-7161

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1891016176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 BURNSIDE AVE",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082406",
            "telephone_number": "870-528-7161",
            "fax_number": "860-528-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 BURNSIDE AVE",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082406",
            "telephone_number": "870-528-7161",
            "fax_number": "860-528-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTMEG SLEEP LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "YEKTA",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_middle_name": "HASAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-528-7161",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.