Individual provider Active NPI

Maria Sokolina, DDS

  • Dentist
  • Clifton, NJ
National Provider Identifier
1508967050
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI020536 Issued in NJ
Practice address
1066 Clifton Ave
Clifton, NJ 07013-3616
Phone
(973) 777-2731
Fax
(973) 777-1077
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI020536 NJ Primary

Addresses

Primary practice location

1066 Clifton Ave
Clifton, NJ 07013-3616

Mailing address

1066 Clifton Ave
Clifton, NJ 07013-3616
Phone (973) 777-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20200826003268 NJ Practitioner - Oral Surgery 1254514896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1066 Clifton Ave
Clifton, NJ 07013-3616
Phone (973) 777-2731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI020536NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Dental Arts a Professional CurrentSince Jan 1, 2011 Accepting new patients

Locations

1066 Clifton Ave
Ste 100
Clifton, NJ 07013
Phone (973) 777-2731

1066 Clifton Ave
Clifton, NJ 07013
Phone (973) 777-2731

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508967050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133616",
            "telephone_number": "973-777-2731",
            "fax_number": "973-777-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133616",
            "telephone_number": "973-777-2731",
            "fax_number": "973-777-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLINA",
        "first_name": "MARIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI020536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.