1871591396 NPI number — MULTI SLEEP AND DIAGNOSTICS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871591396 NPI number — MULTI SLEEP AND DIAGNOSTICS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MULTI SLEEP AND DIAGNOSTICS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871591396
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 MULE RD
Provider Second Line Business Mailing Address:
HOLIDAY PLAZA III UNIT 15
Provider Business Mailing Address City Name:
TOMS RIVER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08757-6460
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-473-1300
Provider Business Mailing Address Fax Number:
732-473-0919

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 MULE RD
Provider Second Line Business Practice Location Address:
HOLIDAY PLAZA III, UNIT 15
Provider Business Practice Location Address City Name:
TOMS RIVER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08757-6460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-473-1300
Provider Business Practice Location Address Fax Number:
732-473-0919
Provider Enumeration Date:
07/08/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SHAH
Authorized Official First Name:
CHETAN
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
732-473-1300

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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