Active NPI
Soll Eye PC of NJ
- Specialist
- Philadelphia, PA
National Provider Identifier
1083613673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA59093
- Legal business name
- SOLL EYE PC OF NJ
- Practice address
- 5001 Frankford Ave
Philadelphia, PA 19124-2619 - Phone
- (215) 288-5000
- Fax
- (215) 744-1233
- NPI assigned
- Jul 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen M Soll, M.D.
- Title
- M.D.
- Phone
- (215) 288-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA59093 | NJ | Primary |
Addresses
Primary practice location
5001 Frankford Ave
Philadelphia, PA 19124-2619
Mailing address
3 Cooper PLZ
Suite 510
Camden, NJ 08103-1438
Phone (856) 342-7200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0038890 | Medicaid | NJ | |
| 03908704 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Cooper Division
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Camden, NJ
- NPI 1306986476
-
- Eyewear Supplier
- Camden, NJ
- NPI 1669560108
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1114924701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083613673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "SUITE 510",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-342-7200",
"fax_number": "856-342-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191242619",
"telephone_number": "215-288-5000",
"fax_number": "215-744-1233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLL EYE PC OF NJ",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SOLL",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "215-288-5000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "MA59093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0038890",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03908704",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.