Organization Active NPI

Potomac Valley Sleep Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Cumberland, MD
National Provider Identifier
1932178902
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
01988075 Issued in MD
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

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Robert Jay MartinNPI 1275610511
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
238CPOOtherMDBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.