Provider Demographics
NPI:1265781439
Name:SLEEP DIAGNOSTICS OF NEW JERSEY
Entity type:Organization
Organization Name:SLEEP DIAGNOSTICS OF NEW JERSEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDONEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-452-1436
Mailing Address - Street 1:2333 MORRIS AVE
Mailing Address - Street 2:SUITE C-103
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5714
Mailing Address - Country:US
Mailing Address - Phone:908-688-6088
Mailing Address - Fax:
Practice Address - Street 1:800 BRAZOS ST STE 1400
Practice Address - Street 2:SUITE 1400
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-2550
Practice Address - Country:US
Practice Address - Phone:512-370-2727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-04
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic