Brian Sokolov

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02725300 Issued in NJ

Practice address

136 Oakland Ave
Closter, NJ 07624-2609

Phone

(201) 396-9518

NPI assigned

Jun 14, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced FMR Dental Health

  • Dental Clinic/Center
  • Closter, NJ
  • NPI 1952296097
  NPD Authorized official

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1295265031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WESMONT DR",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070752154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 OAKLAND AVE",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242609",
            "telephone_number": "201-396-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLOV",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02725300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jagdish Kaur Sidhu, N.D.
• Jacquelyn Deanna Sirgant, MSN, FNP-BC
• Kenneth B Sloane, DDS
• Susannah Smedresman, PSY.D.
• Shima Sokol, M.D.
• Spectrum for Living
• Spectrum for Living Development, Inc.
• Spectrum for Living Development, Inc.
• Spectrum for Living Development, Inc.
• Spectrum for Living Development, Inc.

• General Practice Dentistry in Closter, NJ
• Providers in Closter, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.