Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mount Nittany Medical Center

Organization Sleep Medicine (Family Medicine) Physician · NPI 1669301883

Mount Nittany Medical Center is a Sleep Medicine (Family Medicine) Physician in State College, Pennsylvania. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3

Practice location Address checks out

2121 Old Gatesburg Rd Ste 100
State College, PA 16803-2290
Phone: (814) 231-7277
Fax: (814) 231-7098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sleep Disorder Diagnostic Clinic/Center (primary) Taxonomy 261QS1200X
Sleep Medicine (Family Medicine) Physician Taxonomy 207QS1201X
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X

Record details

NPI number1669301883
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMount Nittany Medical Center
Authorized official Bryan Roach — Cfo · (814) 234-6148
NPI enumeratedMay 14, 2026
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address155 Wellness Way, State College, PA 16803-6702