Active NPI
Sofya Vayntraub, DDS
- General Practice Dentistry
- Jersey City, NJ
National Provider Identifier
1013148741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DI02416900
- Practice address
- 30 Mall Dr W
Suite 71 a
Jersey City, NJ 07310-1615 - Phone
- (201) 626-2500
- NPI assigned
- Jul 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DI02416900 | NJ | Primary |
Addresses
Primary practice location
30 Mall Dr W
Suite 71 a
Jersey City, NJ 07310-1615
Mailing address
27 Damascus Dr
Marlboro, NJ 07746-1950
Phone (732) 261-2110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI02416900 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1013148741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 DAMASCUS DR",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461950",
"telephone_number": "732-261-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MALL DR W",
"address_2": "SUITE 71 A",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101615",
"telephone_number": "201-626-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAYNTRAUB",
"first_name": "SOFYA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "DI02416900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.