# SUPREME SLEEP LLC

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

## Provider details

- **NPI number:** 1770448490
- **Authorized official:** NEOLA GUSHWAY-HENRY (MD)
- **Authorized official phone:** (609) 736-0090

## Contact information

- **Practice address:** 155 WILLOWBROOK BLVD, WAYNE, NJ 07470-7032
- **Practice address phone:** (609) 736-0090
- **Mailing address:** 155 WILLOWBROOK BLVD STE 110, WAYNE, NJ 07470-7033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2025
- **Last updated:** 12/24/2025
