Organization Active NPI

Quality of Life Medical Manangement Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1922422922
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
QUALITY OF LIFE MEDICAL MANANGEMENT INC
Practice address
2917 Avenue K
Suite 201
Brooklyn, NY 11210-4053
Phone
(718) 938-7369
NPI assigned
Feb 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Simcha Y Cohen
Title
Ceo / President
Phone
(718) 336-8000

Specialties & licenses 1

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

Addresses

Primary practice location

2917 Avenue K
Suite 201
Brooklyn, NY 11210-4053

Mailing address

2917 Avenue K
Suite 201
Brooklyn, NY 11210-4053
Phone (718) 938-7369

Other identifiers 1

IdentifierTypeStateIssuer
A300103879MedicaidNY

National Provider Directory

National Provider Directory

Locations

2917 Avenue K
Ste 201
Brooklyn, NY 11210
Phone (718) 938-7369

1002 Quentin Rd
Ste 3003
Brooklyn, NY 11223
Phone (718) 336-8000

1002 Quentin Rd
Ste 300
Brooklyn, NY 11223
Phone (718) 336-8000

1002 Quentin Rd
Ste 30
Brooklyn, NY 11223
Phone (718) 336-8000

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1922422922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 AVENUE K",
            "address_2": "SUITE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104053",
            "telephone_number": "718-938-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 AVENUE K",
            "address_2": "SUITE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104053",
            "telephone_number": "718-938-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE MEDICAL MANANGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SIMCHA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "718-336-8000"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A300103879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.