Provider Demographics
NPI:1407160252
Name:MARUTI FAMILY & SLEEP MEDICINE LLC
Entity Type:Organization
Organization Name:MARUTI FAMILY & SLEEP MEDICINE LLC
Other - Org Name:SLEEP MEDICINE & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KALPESHKUMAR
Authorized Official - Middle Name:P
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-625-8200
Mailing Address - Street 1:2 HOSPITAL PLZ STE 320
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3153
Mailing Address - Country:US
Mailing Address - Phone:732-625-8200
Mailing Address - Fax:732-625-8218
Practice Address - Street 1:2 HOSPITAL PLZ STE 320
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857
Practice Address - Country:US
Practice Address - Phone:732-625-8200
Practice Address - Fax:732-625-8218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-04
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08271300207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0142280Medicaid