Active NPI
Vitaliya Sobol, DDS
- Endodontics
- New York, NY
National Provider Identifier
1255118071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 064591
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02997400 | NJ | MD | Dentist |
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.