Provider Demographics
NPI:1508475567
Name:GOOD NIGHT SLEEP INC
Entity Type:Organization
Organization Name:GOOD NIGHT SLEEP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN RAALTE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-746-5532
Mailing Address - Street 1:2 RUSSELL TER
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2611
Mailing Address - Country:US
Mailing Address - Phone:973-746-5532
Mailing Address - Fax:413-677-0904
Practice Address - Street 1:51 VERONICA AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3448
Practice Address - Country:US
Practice Address - Phone:973-746-5532
Practice Address - Fax:413-677-0904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty