Healthcare Provider Details

I. General information

NPI: 1407566094
Provider Name (Legal Business Name): OGNOMY SLEEP ASSOCIATES, NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2022
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CAMPUS DR STE 105
PARSIPPANY NJ
07054-4409
US

IV. Provider business mailing address

640 ELLICOTT ST
BUFFALO NY
14203-1245
US

V. Phone/Fax

Practice location:
  • Phone: 973-634-7453
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KEN ROSENFELD
Title or Position: COO
Credential:
Phone: 585-752-3448