Deborah Wilson Sollod
Individual provider Active NPI Pediatric Nurse Practitioner · Ringoes, NJ
NPI 1770107682 · NPPES record last updated Jun 5, 2020
Key facts
- NPI
- 1770107682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- F381078-1 (NY)
- Practice address
- 7 Tipperary Ter
Ringoes, NJ 08551-1810 - Phone
- (908) 720-5961
- NPI assigned
- Jun 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 405296-1 | NY | MD | Registered Nurse |
| F381078-1 | NY | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 405296-1 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | F381078-1 | NY | Yes |
Addresses
Primary practice location
7 Tipperary Ter
Ringoes, NJ 08551-1810
Mailing address
7 Tipperary Ter
Ringoes, NJ 08551-1810
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | deb@solidpros.com |
Other providers in Ringoes, NJ
- Rem New Jersey, Inc.
- Lissa Lee Richardson
- Meghan Joan Sank
- Samantha Schmell
- Serv Achievement Centers, Inc
- Jessica Vallorosi
All providers in Ringoes, NJ · Pediatric Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.