Individual provider Active NPI

Audrey P Soboczynski, FNP-C

  • Nurse Practitioner
  • Edgewater, NJ
National Provider Identifier
1730950676
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ14956400 Issued in NJ
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

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250224003029 NJ Practitioner - Nurse Practitioner 7719407519 Reassigns benefits to 1 organization

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
Sahni Rheumatology and Therapy PCGroup PAC ID 5092126516, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Sahni Rheumatology & Therapy PC CurrentSince Feb 1, 2025 Accepting new patients

Locations

842 Broadway
West Long Branch, NJ 07764
Phone (732) 222-0180

Interoperability endpoints

  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.