Provider Demographics
NPI:1912059577
Name:NEWARK OPERATING COMPANY LLC
Entity Type:Organization
Organization Name:NEWARK OPERATING COMPANY LLC
Other - Org Name:AMERICAN SLEEP MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPOURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-254-4161
Mailing Address - Street 1:200 CONTINENTAL DR STE 122
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4303
Mailing Address - Country:US
Mailing Address - Phone:302-366-0111
Mailing Address - Fax:302-366-0110
Practice Address - Street 1:200 CONTINENTAL DRIVE
Practice Address - Street 2:SUITE 112
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4369
Practice Address - Country:US
Practice Address - Phone:302-366-0111
Practice Address - Fax:302-366-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic