Individual provider Active NPI

Mark Sobel, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Atlantic Highlands, NJ
National Provider Identifier
1629124722
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
25MA06303500 Issued in NJ
Practice address
25 First Ave
Suite 110
Atlantic Highlands, NJ 07716-6354
Phone
(732) 291-4085
Fax
(732) 291-4086
NPI assigned
Jan 25, 2007
Last updated
Apr 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 25MA06303500 NJ Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 177451-1 NY
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X ME91602 FL

Addresses

Primary practice location

25 First Ave
Suite 110
Atlantic Highlands, NJ 07716-6354

Mailing address

25 First Ave
Suite 110
Atlantic Highlands, NJ 07716-6354
Phone (732) 291-4085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 25, 2024 through Apr 25, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME91602FLMDOrthopaedic Foot and Ankle Surgery Physician
25MA06303500NJMDOrthopaedic Foot and Ankle Surgery Physician
177451-1NYMDOrthopaedic Foot and Ankle Surgery Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1629124722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FIRST AVE",
            "address_2": "SUITE 110",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077166354",
            "telephone_number": "732-291-4085",
            "fax_number": "732-291-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FIRST AVE",
            "address_2": "SUITE 110",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077166354",
            "telephone_number": "732-291-4085",
            "fax_number": "732-291-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBEL",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NJ",
            "license": "25MA06303500",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NY",
            "license": "177451-1",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "FL",
            "license": "ME91602",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Highlands, NJ

Sources for this page

Verify at the official NPI Registry.