Healthcare Provider Details

I. General information

NPI: 1548648702
Provider Name (Legal Business Name): NORTH JERSEY SLEEP SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2015
Last Update Date: 05/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 COLUMBIA TPKE
FLORHAM PARK NJ
07932-2191
US

IV. Provider business mailing address

140 COLUMBIA TPKE
FLORHAM PARK NJ
07932-2191
US

V. Phone/Fax

Practice location:
  • Phone: 201-588-6011
  • Fax: 973-377-8214
Mailing address:
  • Phone: 201-588-6011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI01771100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. VINEET V SOHONI
Title or Position: DENTIST/OWNER
Credential: D.D.S.
Phone: 201-588-6011