Individual provider Active NPI

David Sobel, MD

  • Internal Medicine Physician
  • Old Bridge, NJ
National Provider Identifier
1730181173
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA03352600 Issued in NJ
Practice address
300 Perrine Rd
Suite 324
Old Bridge, NJ 08857-3627
Phone
(732) 753-9890
Fax
(732) 753-9893
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA03352600 NJ Primary

Addresses

Primary practice location

300 Perrine Rd
Suite 324
Old Bridge, NJ 08857-3627

Mailing address

300 Perrine Rd
Suite 324
Old Bridge, NJ 08857-3627
Phone (732) 753-9890

Other identifiers 1

IdentifierTypeStateIssuer
1330802MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080718000197 NJ Practitioner - Internal Medicine 7517954001 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Meridian Medical Group - Specialty Care, PC Internal Medicine PastSince Aug 26, 2013 Accepting new patients
NJ Urgentcare Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1730181173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PERRINE RD",
            "address_2": "SUITE 324",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573627",
            "telephone_number": "732-753-9890",
            "fax_number": "732-753-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PERRINE RD",
            "address_2": "SUITE 324",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573627",
            "telephone_number": "732-753-9890",
            "fax_number": "732-753-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBEL",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03352600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1330802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.