Provider Demographics
NPI:1730304189
Name:HACKENSACK SLEEP CENTER PARTNERS LLC
Entity Type:Organization
Organization Name:HACKENSACK SLEEP CENTER PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-434-9398
Mailing Address - Street 1:60 LYME ST
Mailing Address - Street 2:
Mailing Address - City:OLD LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06371-2332
Mailing Address - Country:US
Mailing Address - Phone:860-434-9398
Mailing Address - Fax:860-434-0739
Practice Address - Street 1:170 PROSPECT AVE STE 5
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1834
Practice Address - Country:US
Practice Address - Phone:201-880-0616
Practice Address - Fax:201-880-8534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic