Individual provider Active NPI

Vitaliya Sobol, DDS

  • Endodontics
  • New York, NY
National Provider Identifier
1255118071
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
064591 Issued in NY
Practice address
130 E 35TH St
New York, NY 10016-3815
Phone
(212) 685-5133
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 064591 NY Primary
Endodontics 1223E0200X 22DI02997400 NJ
Dentist 122300000X 22DI02997400 NJ

Addresses

Primary practice location

130 E 35TH St
New York, NY 10016-3815

Mailing address

49 Morris Dr
Old Bridge, NJ 08857-3546
Phone (646) 725-8590

Other practice location 1

475 County Rte 520 Suite 102
Marlboro, NJ 07746
Phone (732) 444-7846

Other practice location 2

120 E 56th St Rm 720
New York, NY 10022-3663
Phone (212) 922-9554

Other practice location 3

2766 John F Kennedy Blvd
Jersey City, NJ 07306-5508
Phone (201) 433-0773

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02997400NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1255118071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MORRIS DR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573546",
            "telephone_number": "646-725-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 35TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163815",
            "telephone_number": "212-685-5133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 County Rte 520 Suite 102",
            "address_purpose": "LOCATION",
            "city": "Marlboro",
            "state": "NJ",
            "postal_code": "07746",
            "country_code": "US",
            "telephone_number": "732-444-7846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 E 56th St Rm 720",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100223663",
            "country_code": "US",
            "telephone_number": "212-922-9554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2766 John F Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073065508",
            "country_code": "US",
            "telephone_number": "201-433-0773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBOL",
        "first_name": "VITALIYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "064591",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI02997400",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02997400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.