Healthcare Provider Details

I. General information

NPI: 1487447298
Provider Name (Legal Business Name): SNORE NO MORE NY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2025
Last Update Date: 08/09/2025
Certification Date: 08/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14758 41ST AVE
FLUSHING NY
11355-1249
US

IV. Provider business mailing address

1315 ANDERSON AVE STE UNITA
FORT LEE NJ
07024-1769
US

V. Phone/Fax

Practice location:
  • Phone: 855-859-3300
  • Fax: 201-300-6361
Mailing address:
  • Phone: 201-224-4400
  • Fax: 201-224-4418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID JIN
Title or Position: OWNER/MEMBER
Credential: DDS
Phone: 201-224-4400