Individual provider Active NPI

Shima Sokol, M.D.

  • Orthopaedic Hand Surgery Physician
  • Closter, NJ
National Provider Identifier
1447489489
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
25MA09160800 Issued in NJ
Practice address
235 Closter Dock Rd
Closter, NJ 07624-1907
Phone
(201) 767-1908
Fax
(201) 767-3097
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 25MA09160800 NJ Primary
Orthopaedic Hand Surgery Physician 207XS0106X 257717-1 NY

Addresses

Primary practice location

235 Closter Dock Rd
Closter, NJ 07624-1907

Mailing address

235 Closter Dock Rd
Closter, NJ 07624-1907
Phone (201) 767-1908

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929003049 NY Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 9032305552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
257717-1NYMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ssokol778877@nychhc.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1447489489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CLOSTER DOCK RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241907",
            "telephone_number": "201-767-1908",
            "fax_number": "201-767-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CLOSTER DOCK RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241907",
            "telephone_number": "201-767-1908",
            "fax_number": "201-767-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOL",
        "first_name": "SHIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NJ",
            "license": "25MA09160800",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NY",
            "license": "257717-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Closter, NJ

Sources for this page

Verify at the official NPI Registry.