Active NPI
Hamden Sleep Disorders Center LLC
- Sleep Disorder Diagnostic Clinic/Center
- Branford, CT
National Provider Identifier
1992931687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- HAMDEN SLEEP DISORDERS CENTER LLC
- Practice address
- 14 Business Park Dr
Suite a
Branford, CT 06405-2909 - Phone
- (203) 643-0620
- NPI assigned
- Jun 8, 2009
- Organization subpart
- Yes
- Parent organization
- HAMDEN SLEEP DISORDERS CENTER LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Neelam Gupta
- Title
- Director
- Phone
- (203) 643-0620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
14 Business Park Dr
Suite a
Branford, CT 06405-2909
Mailing address
19 Tulip Tree LN
Woodbridge, CT 06525-1414
Phone (203) 676-0323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070830000718 | CT | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2961595319 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hamden, CT |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Sleep Medicine (Internal Medicine) Physician
- Hamden, CT
- NPI 1891986006
O20070830000718
National Provider Directory
National Provider Directory- Part of
- Hamden Sleep Disorders Centerllc
Locations
14 Business Park Dr
Ste A
Branford, CT 06405
Phone (203) 643-0620
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Sleep Medicine (Internal Medicine) Physician
- Hamden, CT
- NPI 1891986006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479427200000",
"number": "1992931687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 TULIP TREE LN",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065251414",
"telephone_number": "203-676-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 BUSINESS PARK DR",
"address_2": "SUITE A",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064052909",
"telephone_number": "203-643-0620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMDEN SLEEP DISORDERS CENTER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HAMDEN SLEEP DISORDERS CENTER LLC",
"enumeration_date": "2009-06-08",
"last_updated": "2016-11-18",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "NEELAM",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "203-643-0620",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.