Organization Active NPI

Advantage Sleep Associates, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Newtown, PA
National Provider Identifier
1972865376
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
24516 Issued in NJ
Legal business name
ADVANTAGE SLEEP ASSOCIATES, LLC
Practice address
11 Friends LN Ste 104B
Newtown, PA 18940-1885
Phone
(856) 772-1119
Fax
(856) 772-1129
NPI assigned
Jun 12, 2012
Organization subpart
Yes
Parent organization
ADVANTAGE SLEEP ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Cheryl Kobithen
Title
Administrator
Phone
(856) 424-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 24516 NJ Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Addresses

Primary practice location

11 Friends LN Ste 104B
Newtown, PA 18940-1885

Mailing address

1998 Route 70 E
Cherry Hill, NJ 08003-1834
Phone (856) 424-2000

Other practice location 1

2301 E Evesham Rd
Suite 603 and 604
Voorhees, NJ 08043-4501
Phone (856) 772-1119

Other names 1

  • Advantage Sleep Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121002000270 NJ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9133378433 Practice locations: Voorhees, NJ

National Provider Directory

National Provider Directory
Part of
Advantage Sleep Assocs

Locations

2301 E Evesham Rd
Ste 603604
Voorhees, NJ 08043
Phone (856) 772-1119

2301 E Evesham Rd
Ste 603
Voorhees, NJ 08043
Phone (856) 770-9275

11 Friends Ln
Ste 104B
Newtown, PA 18940
Phone (856) 772-1119

Practitioners & affiliated clinicians

Practitioners 2

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": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1972865376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 ROUTE 70 E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031834",
            "telephone_number": "856-424-2000",
            "fax_number": "856-424-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDS LN STE 104B",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401885",
            "telephone_number": "856-772-1119",
            "fax_number": "856-772-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 E Evesham Rd",
            "address_2": "Suite 603 and 604",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434501",
            "country_code": "US",
            "telephone_number": "856-772-1119",
            "fax_number": "856-772-1129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANTAGE SLEEP ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANTAGE SLEEP ASSOCIATES, LLC",
        "enumeration_date": "2012-06-12",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "KOBITHEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-424-2000"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NJ",
            "license": "24516",
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Sleep Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.