PERSONALIZED MEDICINE AND SLEEP MEDICINE, L.L.C.


Address: 628 Shrewsbury Avenue, Tinton Falls, NJ 07727
Phone: 7322416242

PERSONALIZED MEDICINE AND SLEEP MEDICINE, L.L.C. (NPI# 1730423443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730423443
Entity Type Organization
Organization Name PERSONALIZED MEDICINE AND SLEEP MEDICINE, L.L.C.
Practice Address 628 Shrewsbury Avenue
Tinton Falls
NJ 07727
Mailing Address 628 Shrewsbury Ave
Tinton Falls
NJ 07727
Practice Telephone 7322416242
Enumeration Date 2012-11-19
Last Update Date 2012-11-19
Authorized Official Name MRS. STACY HERRING (CREDENTIALING/BILLING)
Authorized Official Telephone 7324927490
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 173F00000X Sleep Specialist, PhD 25MA06861200 NJ Other Service Providers

Office Location

Street Address 628 SHREWSBURY AVENUE
City TINTON FALLS
State NJ
Zip Code 07727

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1831372226 Karen Louise Utz Psychologist 6 Madeline Court, Farmingdale, NJ 07727 2007-12-10
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Taxonomy Information

Taxonomy Code 173F00000X
Grouping Other Service Providers
Classification Sleep Specialist, PhD

Taxonomy Definition

Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others.
Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316375074 Shelley Berson Md PC Sleep Specialist, PhD 305 W Grand Ave, Suite 500, Montvale, NJ 07645-1813 2013-10-16
1417202748 Sana Sleep Study Inc Sleep Specialist, PhD 3196 Kennedy Blvd, 3rd Floor, Union City, NJ 07087-2436 2012-07-24
1114191293 Evergreen Health and Wellness Sleep Specialist, PhD 2131 Highway 33, Hamilton, NJ 08690-1740 2008-04-18

Competitor

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City TINTON FALLS
Zip Code 07727

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Dataset Information

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.

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