Provider Demographics
NPI:1518083179
Name:OLD BRIDGE SLEEP CENTER
Entity Type:Organization
Organization Name:OLD BRIDGE SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MEDICAL BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNDERSHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-494-3030
Mailing Address - Street 1:120 WOOD AVE S
Mailing Address - Street 2:SUITE 511
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2736
Mailing Address - Country:US
Mailing Address - Phone:732-494-3030
Mailing Address - Fax:732-494-3310
Practice Address - Street 1:42 THROCKMORTON LN
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2572
Practice Address - Country:US
Practice Address - Phone:732-679-0005
Practice Address - Fax:732-679-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic