Active NPI
Michael Sokol, DDS
- Dentist
- West Orange, NJ
National Provider Identifier
1659934800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02797400
- Practice address
- 153 Clarken Dr
West Orange, NJ 07052-3429 - Phone
- (646) 763-3148
- NPI assigned
- Apr 15, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 22DI02797400 | NJ | Primary |
Addresses
Primary practice location
153 Clarken Dr
West Orange, NJ 07052-3429
Mailing address
153 Clarken Dr
West Orange, NJ 07052-3429
Phone (646) 763-3148
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190920002115 | NY | Order and Referring Only - Dentist | 3577893379 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02797400 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TDS Jersey City Heights LLC | Current | Accepting new patients | |
| Tristate Dental Spa LLC | Current | Accepting new patients | |
| Tristate Dental Spa of Plainfield | Dentist | Current | Accepting new patients |
Locations
35 Journal Sq
Ste 623
Jersey City, NJ 07306
Phone (201) 659-7717
69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250
Organizations & group practices 3
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
- Jersey City, NJ
- NPI 1891643987
-
- General Practice Dentistry
- Jersey City, NJ
- NPI 1619675527
-
- Dentist
- Plainfield, NJ
- NPI 1336973262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1659934800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 CLARKEN DR",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070523429",
"telephone_number": "646-763-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 CLARKEN DR",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070523429",
"telephone_number": "646-763-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOKOL",
"first_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-15",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02797400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.