Individual provider Active NPI

Michael Sokol, DDS

  • Dentist
  • West Orange, NJ
National Provider Identifier
1659934800
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02797400 Issued in NJ
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

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190920002115 NY Order and Referring Only - DentistPractitioner - Dentist 3577893379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02797400NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
TDS Jersey City Heights LLC Current Accepting new patients
Tristate Dental Spa LLC CurrentSince Feb 26, 2023 Accepting new patients
Tristate Dental Spa of Plainfield Dentist CurrentSince Sep 8, 2024 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.

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

Verify at the official NPI Registry.