Provider Demographics
NPI:1619156221
Name:BERLIANT SLEEP SERVICES
Entity Type:Organization
Organization Name:BERLIANT SLEEP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRITI
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDYA-PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-347-5282
Mailing Address - Street 1:875 MILITARY TRL
Mailing Address - Street 2:SUITE 208
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5700
Mailing Address - Country:US
Mailing Address - Phone:561-427-0227
Mailing Address - Fax:561-427-0222
Practice Address - Street 1:120 WOOD AVE S
Practice Address - Street 2:SUITE 511
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-2736
Practice Address - Country:US
Practice Address - Phone:732-494-3030
Practice Address - Fax:732-494-3310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU0298Medicare PIN