Provider Demographics
NPI:1942379268
Name:WOODBRIDGE SLEEP CENTER LLC
Entity Type:Organization
Organization Name:WOODBRIDGE SLEEP CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZUBAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-636-7733
Mailing Address - Street 1:900 WOODBRIDGE CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095
Mailing Address - Country:US
Mailing Address - Phone:732-636-7733
Mailing Address - Fax:732-636-7060
Practice Address - Street 1:900 WOODBRIDGE CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095
Practice Address - Country:US
Practice Address - Phone:732-636-7733
Practice Address - Fax:732-636-7060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7807805Medicaid
NJ017296Medicare ID - Type Unspecified