Organization Active NPI

Snore Free NJ, PC

  • Dentist
  • Totowa, NJ
National Provider Identifier
1043611684
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D101926300 Issued in NJ
Legal business name
SNORE FREE NJ, PC
Practice address
9 Furler St
Totowa, NJ 07512-1801
Phone
(973) 975-7434
Fax
(413) 677-0904
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joan Van Raalte, DMD
Title
President
Phone
(973) 975-7434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22D101926300 NJ Primary

Addresses

Primary practice location

9 Furler St
Totowa, NJ 07512-1801

Mailing address

41 Watchung PLZ # 185
Montclair, NJ 07042-4117
Phone (973) 975-7434

National Provider Directory

National Provider Directory

Locations

9 Furler St
Totowa, NJ 07512
Phone (973) 339-9711

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1043611684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WATCHUNG PLZ # 185",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424117",
            "telephone_number": "973-975-7434",
            "fax_number": "413-677-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FURLER ST",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121801",
            "telephone_number": "973-975-7434",
            "fax_number": "413-677-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNORE FREE NJ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "VAN RAALTE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-975-7434",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D101926300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.