Active NPI
Olga Sobol, D.D.S.
- Dentist
- West Long Branch, NJ
National Provider Identifier
1427174705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02300500
- Practice address
- 67 State Route 36
West Long Branch, NJ 07764-1432 - Phone
- (732) 276-4869
- NPI assigned
- Mar 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 052175 | NY | |
| Dentist | 122300000X | 22DI02300500 | NJ | Primary |
Addresses
Primary practice location
67 State Route 36
West Long Branch, NJ 07764-1432
Mailing address
49 Morris Dr
Old Bridge, NJ 08857-3546
Phone (718) 986-0987
Other practice location 1
375 South End Avenue
New York, NY 10280
Phone (212) 619-4070
Other practice location 2
193 Route 9 Ste 1A
Manalapan, NJ 07726-3016
Phone (732) 683-0434
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 |
|---|---|---|---|
| 22DI02300500 | NJ | MD | Dentist |
| 052175 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NN'S Dental Gallery | Past | Accepting new patients | |
| The Exchange Dental Office, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- New York, NY
- NPI 1982992780
-
- Dentist
- New York, NY
- NPI 1275816712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1427174705",
"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": "718-986-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 STATE ROUTE 36",
"city": "WEST LONG BRANCH",
"state": "NJ",
"postal_code": "077641432",
"telephone_number": "732-276-4869"
}
],
"practiceLocations": [
{
"address_1": "375 South End Avenue",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10280",
"country_code": "US",
"telephone_number": "212-619-4070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "193 Route 9 Ste 1A",
"address_purpose": "LOCATION",
"city": "Manalapan",
"state": "NJ",
"postal_code": "077263016",
"country_code": "US",
"telephone_number": "732-683-0434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOBOL",
"first_name": "OLGA",
"name_prefix": "Mrs.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "052175",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02300500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.