MARYVILLE PULMONARY & SLEEP MEDICINE, LLC
NPI 1053620765
Internal Medicine - Pulmonary Disease in Philadelphia, PA

Active since September 29, 2010
5401 OLD YORK ROAD, KLEIN-SUITE 300, PHILADELPHIA, PA 19141(215) 456-6950(215) 456-1766 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 20, 2017 (3 updates tracked since 2017).

About Maryville Pulmonary & Sleep Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYVILLE PULMONARY & SLEEP MEDICINE, LLC (NPI 1053620765) is a healthcare organization registered as a pulmonary disease in Philadelphia, Pennsylvania and active in the NPI registry since September 2010. The organization maintains a secondary practice location in Maryville and lists Jaber M. Monla-hassan, Owner, as its authorized official.

NPPES Registry Identity

NPI1053620765
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameMARYVILLE PULMONARY & SLEEP MEDICINE, LLC
Location Address5401 OLD YORK ROAD, KLEIN-SUITE 300Philadelphia, PA 19141-3030
Mailing AddressPo Box 5659Maryville, TN 37802-5659 · (865) 273-1752 · Fax (865) 273-1755
Fax(215) 456-1766
Organization SubpartNo
Authorized OfficialJaber M. Monla-hassanOwner · (865) 980-5100
Enumeration DateSeptember 29, 2010
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1053620765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in PA · MD433403 Licensed in TN · 38341
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 38341 (TN)
5401 OLD YORK ROAD, Philadelphia, PA 19141

Secondary Practice Location 1

Location 1365 Bmh Physicians Office BldgMaryville, TN 37804-5820 · Phone (865) 980-5100 · Fax (865) 980-5105

Other Identifiers 1

Medicaid1520768TN

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Transplant Surgery
5401 OLD YORK ROAD, SUITE 509
PHILADELPHIA, PA 19141
Psychiatry & Neurology (Neurology)
5401 OLD YORK ROAD, SUITE 300
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5401 OLD YORK ROAD, SUITE 363
PHILADELPHIA, PA 19141
Nurse Practitioner (Primary Care)
5401 OLD YORK ROAD
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5401 OLD YORK ROAD, KLEIN SUITE 363
PHILADELPHIA, PA 19141
Internal Medicine (Gastroenterology)
5401 OLD YORK ROAD, KLEIN BLDG STE 509
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5401 OLD YORK ROAD, SUITE 363
PHILADELPHIA, PA 19141
Psychiatry & Neurology (Neurology)
5401 OLD YORK ROAD, KLEIN BUILDING, SUITE 404
PHILADELPHIA, PA 19141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryville Pulmonary & Sleep Medicine, LLC's NPI number?

The NPI number for Maryville Pulmonary & Sleep Medicine, LLC is 1053620765. It was assigned to this organization in the NPPES registry on September 29, 2010.

Where is Maryville Pulmonary & Sleep Medicine, LLC located?

Maryville Pulmonary & Sleep Medicine, LLC is located at 5401 Old York Road Klein-Suite 300, Philadelphia, PA 19141. The listed phone number is (215) 456-6950.

What is Maryville Pulmonary & Sleep Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Maryville Pulmonary & Sleep Medicine, LLC was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.