Active NPI
Potomac Valley Sleep Center, LLC
- Sleep Disorder Diagnostic Clinic/Center
- Cumberland, MD
National Provider Identifier
1932178902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- License
- 01988075
- Legal business name
- POTOMAC VALLEY SLEEP CENTER, LLC
- Practice address
- 507 N Centre St
Cumberland, MD 21502-2102 - Phone
- (301) 724-7378
- Fax
- (301) 722-4787
- NPI assigned
- Mar 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Jay Martin
- Title
- President
- Phone
- (301) 697-3839
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | 01988075 | MD | Primary |
Addresses
Primary practice location
507 N Centre St
Cumberland, MD 21502-2102
Mailing address
507 N Centre St
Cumberland, MD 21502-2102
Phone (301) 724-7378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238CPO | Other | MD | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Cumberland, MD
- NPI 1275610511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471478400000",
"number": "1932178902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 N CENTRE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022102",
"telephone_number": "301-724-7378",
"fax_number": "301-722-4787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 N CENTRE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022102",
"telephone_number": "301-724-7378",
"fax_number": "301-722-4787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POTOMAC VALLEY SLEEP CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2016-08-18",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-697-3839"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "MD",
"license": "01988075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "238CPO",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.