Organization Active NPI

Snore No More by Abs LLC

  • Multi-Specialty Clinic/Center
  • Fair Lawn, NJ
National Provider Identifier
1508583402
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SNORE NO MORE BY ABS LLC
Practice address
26-07 Broadway Ste 14
Fair Lawn, NJ 07410-3827
Phone
(855) 859-3300
Fax
(201) 300-6361
NPI assigned
Oct 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Dr. David Jin, DDSNPI 1255334165
Title
Owner
Phone
(855) 859-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Dental Clinic/Center 261QD0000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

26-07 Broadway Ste 14
Fair Lawn, NJ 07410-3827

Mailing address

26-07 Broadway Ste 14
Fair Lawn, NJ 07410-3827
Phone (855) 859-3300

Other names 1

  • Snore No More by ABS LLC - Fair Lawn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250314002455 NJ Part B Supplier - Clinic/Group Practice 3779005111 Receives reassigned benefits from 1 practitioner
Practice locations: Fair Lawn, NJ

National Provider Directory

National Provider Directory
Tax ID family
Snore No More by Abs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1508583402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26-07 BROADWAY STE 14",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103827",
            "telephone_number": "855-859-3300",
            "fax_number": "201-300-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26-07 BROADWAY STE 14",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103827",
            "telephone_number": "855-859-3300",
            "fax_number": "201-300-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNORE NO MORE BY ABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-859-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snore No More by ABS LLC - Fair Lawn",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Snore No More by ABS LLC - Fair Lawn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.