Individual provider Active NPI

Eva J Sokal, DDS

  • General Practice Dentistry
  • Ridgewood, NY
National Provider Identifier
1669508453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049485 Issued in NY
Practice address
7002 Fresh Pond Rd
Ridgewood, NY 11385-5902
Phone
(718) 417-4544
Fax
(718) 417-3266
NPI assigned
Feb 26, 2007
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
General Practice Dentistry 1223G0001X 049485 NY Primary

Addresses

Primary practice location

7002 Fresh Pond Rd
Ridgewood, NY 11385-5902

Mailing address

7002 Fresh Pond Rd
Ridgewood, NY 11385-5902
Phone (718) 417-4544

Other identifiers 1

IdentifierTypeStateIssuer
02310745MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
049485NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Eva Sokal DDS PC General Practice CurrentSince Aug 11, 2024 Accepting new patients
Smileworks Dental P.C. Past Accepting new patients

Locations

6863 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 386-8609

Organizations & group practices 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669508453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855902",
            "telephone_number": "718-417-4544",
            "fax_number": "718-417-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855902",
            "telephone_number": "718-417-4544",
            "fax_number": "718-417-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKAL",
        "first_name": "EVA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02310745",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.