Active NPI
Audrey P Soboczynski, FNP-C
- Nurse Practitioner
- Edgewater, NJ
National Provider Identifier
1730950676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ14956400
- Practice address
- 725 River Rd
Edgewater, NJ 07020-1171 - Phone
- (201) 591-2000
- NPI assigned
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ14956400 | NJ | Primary |
Addresses
Primary practice location
725 River Rd
Edgewater, NJ 07020-1171
Mailing address
88 Jackson Ave Apt 1210
Edison, NJ 08837-3163
Phone (973) 494-4964
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
842 Broadway
West Long Branch, NJ 07764-1503
Phone (732) 272-1456
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sahni Rheumatology & Therapy PC | Current | Accepting new patients |
Locations
842 Broadway
West Long Branch, NJ 07764
Phone (732) 222-0180
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HGGBCD
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 and National Provider Directory roles.
-
- Rheumatology Physician
- W Long Branch, NJ
- NPI 1821602194
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Red Bank, NJ
- NPI 1710499462
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1730950676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 JACKSON AVE APT 1210",
"city": "EDISON",
"state": "NJ",
"postal_code": "088373163",
"telephone_number": "973-494-4964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 RIVER RD",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201171",
"telephone_number": "201-591-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBOCZYNSKI",
"first_name": "AUDREY",
"middle_name": "P",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-10",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ14956400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, NJ
- Aleyna Soyoung Shin, MSN
- Skyview Dental Associates PC
- Skyview Dental Center LLP
- Smiles on the Hudson PC
- Anna Caroline Smith
- Kevin M Soriano, MD
- Diane Alexy Sosa, LPC
- Spectrum Physical Therapy & Athletic Training, LLC
- Spectrum Physical Therapy and Athletic Training LLC
- Margaret B. Steele, L.AC., C.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.