PRINCETON ENT AND SLEEP LLC (NPI# 1639654106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639654106 |
Entity Type | Organization |
Organization Name | PRINCETON ENT AND SLEEP LLC |
Practice Address |
10 Forrestal Rd S Ste 206 Princeton NJ 08540-6666 |
Mailing Address |
3327 Idaho Ave Nw Washington DC 20016-3737 |
Practice Telephone | 6099218800 |
Mailing Telephone | 9142623798 |
Enumeration Date | 2018-10-01 |
Last Update Date | 2018-10-01 |
Authorized Official Name | DR. GERALD D SUH (PRESIDENT) |
Authorized Official Telephone | 6099218800 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | NJ MEDICAL LICENSE | 25MA08694400 | 01 |
Other Name | Type Code |
---|---|
Princeton Ear, Nose, and Throat | Former Legal Business Name - Organization |
Street Address |
10 FORRESTAL RD S STE 206 |
City | PRINCETON |
State | NJ |
Zip Code | 08540-6666 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154365450 | Gerald D. Suh | Otolaryngology | 10 Forrestal Rd S Ste 206, Princeton, NJ 08540-6666 | 2006-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
Find all providers in zip 08540 |
Taxonomy Code | 207YS0012X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Sleep Medicine |
An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891904967 | Lisa Jenny Hou | Otolaryngology | Bldg 64 Academy Way, Medical Command - National Guard Training Center, Sea Girt, NJ 08750 | 2007-05-22 |
1801295696 | Ks Medical, LLC | Otolaryngology | One Robert Wood Johnson Place, Robert Wood Johnson Hospital, New Brunswick, NJ 08901-1966 | 2014-08-18 |
1689927105 | Shelley Berson Md, PC | Otolaryngology | 305 W Grand Ave, Suite 500, Montvale, NJ 07645-1813 | 2012-10-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.