Individual provider Active NPI

Svetlana Sobol, F.N.P.

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1588722003
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F334795 Issued in NY
Practice address
330 Hunter Ave
Staten Island, NY 10306-5141
Phone
(718) 987-2862
Fax
(718) 434-9939
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

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
Family Nurse Practitioner 363LF0000X F334795 NY Primary

Addresses

Primary practice location

330 Hunter Ave
Staten Island, NY 10306-5141

Mailing address

330 Hunter Ave
Staten Island, NY 10306-5141
Phone (718) 987-2862

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000265 NY Order and Referring Only - Nurse Practitioner 8527216449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F334795NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588722003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HUNTER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065141",
            "telephone_number": "718-987-2862",
            "fax_number": "718-434-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HUNTER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065141",
            "telephone_number": "718-987-2862",
            "fax_number": "718-434-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOL",
        "first_name": "SVETLANA",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.