Provider Demographics
NPI:1306925144
Name:ISN SLEEP CENTER OF PRINCETON, LLC
Entity type:Organization
Organization Name:ISN SLEEP CENTER OF PRINCETON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PRITI
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDYA PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-347-5282
Mailing Address - Street 1:100 FEDERAL CITY RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-1664
Mailing Address - Country:US
Mailing Address - Phone:609-530-1500
Mailing Address - Fax:
Practice Address - Street 1:100 FEDERAL CITY RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-1664
Practice Address - Country:US
Practice Address - Phone:609-530-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0242250Medicaid
NJ0242250Medicaid