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SHELLEY BERSON MD PC NPI 1316375074


NPI Information

NPI: 1316375074
Provider Name: SHELLEY BERSON MD PC
Classification: Sleep Specialist, PhD - 173F00000X
Entity Type: Organization
Address:
305 W GRAND AVE
SUITE 500
MONTVALE, NJ
ZIP 07645
Phone: (201) 391-8282
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SHELLEY BERSON MD PC is a sleep specialist phd in Montvale, NJ. The provider is sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others. SHELLEY BERSON MD PC NPI is 1316375074. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

305 W GRAND AVE
SUITE 500
MONTVALE, NJ
ZIP 07645-813
Phone: (201) 391-8282
Fax: (201) 391-8299

The provider's authorized official is Maggie Cuello .
The authorized official title is Billing Director and has the following contact phone number (201) 391-8282.

The enumeration date for this NPI number is 10/16/2013 and was last updated on 10/16/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173F00000XSleep Specialist, PhD25MA05783000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11689927105OTHERINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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