SLEEP DISORDERS LAB OF CENTRAL NEW YORK, LLC
NPI 1336570589
Sleep Specialist, PhD in Utica, NY

Active since December 12, 2013
1450 CHAMPLIN AVE, SUITE 1, UTICA, NY 13502(315) 624-9004 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2023, Jan 24, 2023 (2 updates tracked since 2023).

About Sleep Disorders Lab Of Central New York, Llc NPPES

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

SLEEP DISORDERS LAB OF CENTRAL NEW YORK, LLC (NPI 1336570589) is a healthcare organization registered as a sleep specialist, phd in Utica, New York and active in the NPI registry since December 2013. The organization lists Anwar Wassel, Authorized Signer, as its authorized official.

NPPES Registry Identity

NPI1336570589
Entity TypeOrganization
Primary Taxonomy173F00000X
Legal Business NameSLEEP DISORDERS LAB OF CENTRAL NEW YORK, LLC
Location Address1450 CHAMPLIN AVE, SUITE 1Utica, NY 13502-3662
Mailing Address1450 Champlin Ave, Suite 1Utica, NY 13502-3662 · (315) 624-9004
Organization SubpartNo
Authorized OfficialAnwar WasselAuthorized Signer · (315) 542-4582
Enumeration DateDecember 12, 2013
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1336570589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySleep Specialist, PhDOther Service Providers
Taxonomy Code173F00000X
License✔ Licensed in NY · 207857
Definition
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.
1450 CHAMPLIN AVE, Utica, NY 13502

Group Practice 1

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sleep Disorders Lab Of Central New York, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Sleep Disorders Lab Of Central New York, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1962617159
1450 CHAMPLAIN AVE
Utica, NY 13502
(315) 624-9000
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1376707521
1450 CHAMPLIN AVE
Utica, NY 13502
(315) 624-9000
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1750689451
2215 GENESEE ST
Utica, NY 13501
(315) 801-3484
✔ PECOS✔ Accepts Medicare1.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sleep Disorders Lab Of Central New York, LLC's NPI number?

The NPI number for Sleep Disorders Lab Of Central New York, LLC is 1336570589. It was assigned to this organization in the NPPES registry on December 12, 2013.

Where is Sleep Disorders Lab Of Central New York, LLC located?

Sleep Disorders Lab Of Central New York, LLC is located at 1450 Champlin Ave Suite 1, Utica, NY 13502. The listed phone number is (315) 624-9004.

What is Sleep Disorders Lab Of Central New York, LLC's specialty?

The primary specialty registered for this NPI is Sleep Specialist, PhD with taxonomy code 173F00000X.

Is Sleep Disorders Lab Of Central New York, LLC enrolled in Medicare?

Yes. Sleep Disorders Lab Of Central New York, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sleep Disorders Lab Of Central New York, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Sleep Disorders Lab Of Central New York, LLC, in Nurse Practitioner, Psychiatry and Pulmonary Disease. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sleep Disorders Lab Of Central New York, LLC was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.