Provider Demographics
NPI:1740257518
Name:PULMONARY CRITICAL CARE SLEEP
Entity type:Organization
Organization Name:PULMONARY CRITICAL CARE SLEEP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AKBAR
Authorized Official - Middle Name:H
Authorized Official - Last Name:OBARAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-586-0031
Mailing Address - Street 1:2069 KLOCKNER ROAD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690
Mailing Address - Country:US
Mailing Address - Phone:609-586-0031
Mailing Address - Fax:609-586-0708
Practice Address - Street 1:2069 KLOCKNER ROAD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690
Practice Address - Country:US
Practice Address - Phone:609-586-0031
Practice Address - Fax:609-586-0708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJCJ6164OtherRAIL ROAD MEDICARE
NJ3062309Medicaid
NJ005073POROtherMEDICARE INDIVIDUAL ID
NJCJ6164OtherRAIL ROAD MEDICARE
C52446Medicare UPIN