Individual provider Active NPI

Joseph S Sobelman, MD

  • Neurology Physician
  • Livingston, NJ
National Provider Identifier
1023123650
Registry record updated Jul 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
47709 Issued in NJ
Practice address
22 Old Short Hills Rd
Suite 106
Livingston, NJ 07039-5604
Phone
(973) 994-1123
Fax
(973) 994-7158
NPI assigned
Aug 21, 2006
Last updated
Jul 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 47709 NJ Primary

Addresses

Primary practice location

22 Old Short Hills Rd
Suite 106
Livingston, NJ 07039-5604

Mailing address

22 Old Short Hills Rd
Suite 106
Livingston, NJ 07039-5604
Phone (973) 994-1123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000629 NJ Practitioner - Neurology 5698963551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York Medical College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians

Practice addresses (Care Compare)

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 636-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47709NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Jul 1, 2020 Accepting new patients
KND Development 59, LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Jul 1, 2020 Accepting new patients
Wound Healing Associates PC CurrentSince Oct 1, 2019 Accepting new patients

Locations

221 County Rd
#One
Cresskill, NJ 07626
Phone (201) 567-4444

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

290 Lafayette Ave
Hawthorne, NJ 07506
Phone (973) 423-0789

350 Boulevard
Fl 5
Passaic, NJ 07055
Phone (973) 365-5082

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278115200000",
    "number": "1023123650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD",
            "address_2": "SUITE 106",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-994-1123",
            "fax_number": "973-994-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD",
            "address_2": "SUITE 106",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-994-1123",
            "fax_number": "973-994-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBELMAN",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "47709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.