# HACKENSACK SLEEP & PULMONARY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hackensack Sleep And Pulmonary Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184745192
- **Authorized official:** MR. FARIBORZ ASHTYANI (DIRECTOR)
- **Authorized official phone:** (201) 996-0232

## Contact information

- **Practice address:** 170 PROSPECT AVE STE 20, HACKENSACK, NJ 07601-1840
- **Practice address phone:** (201) 996-0232
- **Practice address fax:** (201) 996-0095
- **Mailing address:** 170 PROSPECT AVENUE, SUITE 20, HACKENSACK, NJ 07601-1840
- **Mailing address phone:** (201) 996-0232
- **Mailing address fax:** (201) 996-0095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0117668 | — | NJ |