Individual provider Active NPI

Jennifer Grove-Sobol, M.S., C.D.N

  • Nutritionist
  • Dobbs Ferry, NY
National Provider Identifier
1043464886
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
006524 Issued in NY
Practice address
74 Main St
Dobbs Ferry, NY 10522-2112
Phone
(914) 693-3484
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 006524 NY Primary

Addresses

Primary practice location

74 Main St
Dobbs Ferry, NY 10522-2112

Mailing address

74 Main St
Dobbs Ferry, NY 10522-2112
Phone (914) 693-3484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170726002112 NY Practitioner - Registered Dietitian Or Nutrition Professional 3072883883 Reassigns benefits to 2 organizations
I20240916000415 NJ Practitioner - Registered Dietitian Or Nutrition Professional 3072883883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refuah Health Center IncGroup PAC ID 4880584416, 88 clinicians

Practice addresses (Care Compare)

408 Wilson Ave
New Square, NY 10977-1946
Phone (845) 354-9300

5 Twin Ave
Spring Valley, NY 10977-3950
Phone (845) 354-9300

728 N Main St
Spring Valley, NY 10977-8614

728 N Main St
New Square, NY 10977-8916
Phone (845) 354-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Refuah Health Center Inc Current Accepting new patients
Refuah Health Center, Inc. CurrentSince Mar 9, 2025 Accepting new patients
Azriel Hirschfeld MD PLLC CurrentSince Jan 1, 2023 Accepting new patients
Refuah Health Center, Inc. CurrentSince Mar 9, 2025 Accepting new patients
Impact Health New Jersey PC Past Accepting new patients
Refuah Health Center, Inc. Past Accepting new patients

Locations

580 Raritan Rd
Roselle, NJ 07203
Phone (866) 842-3559

2330 Eastchester Rd
Bronx, NY 10469
Phone (718) 228-0063

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

5 Twin Ave
Spring Valley, NY 10977
Phone 84535493001249

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1043464886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MAIN ST",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222112",
            "telephone_number": "914-693-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MAIN ST",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222112",
            "telephone_number": "914-693-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE-SOBOL",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "M.S., C.D.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "006524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.