Provider Demographics
NPI:1235408998
Name:UR SLEEP & PULMONARY ASSOCIATES
Entity Type:Organization
Organization Name:UR SLEEP & PULMONARY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAHAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAMAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-200-9015
Mailing Address - Street 1:7128 SUTTON PL
Mailing Address - Street 2:2 FLOOR
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-4135
Mailing Address - Country:US
Mailing Address - Phone:573-200-9015
Mailing Address - Fax:
Practice Address - Street 1:5 N REGENT STREET
Practice Address - Street 2:SUITE# 512
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-422-9030
Practice Address - Fax:973-422-9034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256305207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1629173240Medicaid
MOI37441Medicare UPIN
MO1629173240Medicaid