Consolacion Soberano, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

045753 Issued in NY

Practice address

6710 Rockaway Beach Blvd
Arverne, NY 11692-1271

Phone

(718) 945-7150

Fax

(718) 327-8336

NPI assigned

Jul 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: consolacion.soberano@jpafhc.eclinicaldirectplus.com

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.

• Joseph P. Addabbo Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ozone Park, NY
  • NPI 1134476443
  NPD (past)
• Joseph P. Addabbo Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Arverne, NY
  • NPI 1831307628
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316947476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PEPPER CIR E",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117583509",
            "telephone_number": "718-945-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 ROCKAWAY BEACH BLVD",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921271",
            "telephone_number": "718-945-7150",
            "fax_number": "718-327-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBERANO",
        "first_name": "CONSOLACION",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1223G0001X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hans Ferdinand Carpio Singson, RN
• Jeryl Dina Skinner, LCSW
• Renee Slater
• Amen Smith
• Ada So, RPH
• Ruan Davina Somerville, LCSW
• Sommai Bunyavanich
• Olufunmilayo O Sowole, LPN
• Deborah Anne Spyliopulos, MS CCC-SLP
• Kerin St. Bernard, LPN

• Dentist in Arverne, NY
• Providers in Arverne, NY by specialty
• Dentist in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.