Provider Demographics
NPI:1679741086
Name:VALLEY PULMONARY & SLEEP DISORDER CENTER
Entity Type:Organization
Organization Name:VALLEY PULMONARY & SLEEP DISORDER CENTER
Other - Org Name:VALLEY PULMONARY & SLEEP DISORDER CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-785-8899
Mailing Address - Street 1:27 S FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-2550
Mailing Address - Country:US
Mailing Address - Phone:201-785-8899
Mailing Address - Fax:201-785-8869
Practice Address - Street 1:27 S FRANKLIN TPKE
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-2550
Practice Address - Country:US
Practice Address - Phone:201-785-8899
Practice Address - Fax:201-785-8869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMAO64071174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ012402Medicare UPIN