Individual provider Active NPI

Souren Edward Gokberk, DDS

  • General Practice Dentistry
  • Long Branch, NJ
National Provider Identifier
1235108242
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15850 Issued in NJ
Practice address
145 Brighton Ave
Long Branch, NJ 07740-5338
Phone
(732) 229-3698
Fax
(732) 229-9606
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15850 NJ Primary

Addresses

Primary practice location

145 Brighton Ave
Long Branch, NJ 07740-5338

Mailing address

20 Stevens Ave
West Long Branch, NJ 07764-1256
Phone (732) 229-3698

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
15850NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235108242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 STEVENS AVE",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641256",
            "telephone_number": "732-229-3698",
            "fax_number": "732-229-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 BRIGHTON AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405338",
            "telephone_number": "732-229-3698",
            "fax_number": "732-229-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOKBERK",
        "first_name": "SOUREN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "15850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.