# PULMONARY SLEEP CARE ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518299833
- **Authorized official:** RAO S MIKKILINENI M.D. (OWNER/ASSOCIATE)
- **Authorized official phone:** (201) 918-2239

## Contact information

- **Practice address:** 377 JERSEY AVENUE, SUITE 470, JERSEY CITY, NJ 07302
- **Practice address phone:** (201) 918-2239
- **Practice address fax:** (201) 918-2243
- **Mailing address:** PO BOX 1557, LIVINGSTON, NJ 07039-7157
- **Mailing address phone:** (201) 918-2239
- **Mailing address fax:** (201) 918-2243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 02/11/2010
- **Last updated:** 02/12/2010