Active NPI
General Neurology and Headache Disorders, P.a.
- Medical Specialty Clinic/Center
- Edison, NJ
National Provider Identifier
1114064144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- GENERAL NEUROLOGY AND HEADACHE DISORDERS, P.A.
- Practice address
- 2 Lincoln Hwy
Suite 509
Edison, NJ 08820-3961 - Phone
- (732) 767-1500
- Fax
- (732) 767-0090
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 21, 2022
- 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. Marina Sobol, M.D.
- Title
- Owner
- Phone
- (732) 767-1500
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 |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | NJ | Primary |
Addresses
Primary practice location
2 Lincoln Hwy
Suite 509
Edison, NJ 08820-3961
Mailing address
2 Lincoln Hwy
Suite 509
Edison, NJ 08820-3961
Phone (732) 767-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0042099 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
42 Parsonage Rd
#B
Edison, NJ 08837
Phone (732) 767-1500
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Edison, NJ
- NPI 1841344694
-
- Neurology Physician
- Edison, NJ
- NPI 1992858112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1114064144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LINCOLN HWY",
"address_2": "SUITE 509",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203961",
"telephone_number": "732-767-1500",
"fax_number": "732-767-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 LINCOLN HWY",
"address_2": "SUITE 509",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203961",
"telephone_number": "732-767-1500",
"fax_number": "732-767-0090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERAL NEUROLOGY AND HEADACHE DISORDERS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SOBOL",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-767-1500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0042099",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.