Provider Demographics
NPI:1770598211
Name:SUPERIOR SLEEP SERVICES INC.
Entity type:Organization
Organization Name:SUPERIOR SLEEP SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGULIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-492-4990
Mailing Address - Street 1:2965 OCEAN PKWY STE 2A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8024
Mailing Address - Country:US
Mailing Address - Phone:347-492-4990
Mailing Address - Fax:718-492-4992
Practice Address - Street 1:2965 OCEAN PKWY STE 2A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8024
Practice Address - Country:US
Practice Address - Phone:347-492-4990
Practice Address - Fax:347-492-4992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA300000155Medicare PIN
NYG300000337Medicare PIN
NYA300001833Medicare PIN