Provider Demographics
NPI:1225323538
Name:ADVANCED PULMONARY, SLEEP & CRITICAL CARE ASSOCIATES, L.L.C
Entity Type:Organization
Organization Name:ADVANCED PULMONARY, SLEEP & CRITICAL CARE ASSOCIATES, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:COELHO-D'COSTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-884-0264
Mailing Address - Street 1:66 HAMBURG RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-3143
Mailing Address - Country:US
Mailing Address - Phone:973-884-0264
Mailing Address - Fax:
Practice Address - Street 1:66 HAMBURG RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-3143
Practice Address - Country:US
Practice Address - Phone:973-884-0264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07503900207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty