Individual provider Active NPI

Gregg Joshua Soffer, D.M.D.

  • General Practice Dentistry
  • Levittown, PA
National Provider Identifier
1780634105
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS030384L Issued in PA
Practice address
549 Stonybrook Dr
Levittown, PA 19055-2228
Phone
(215) 943-2077
NPI assigned
May 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 DS030384L PA Primary

Addresses

Primary practice location

549 Stonybrook Dr
Levittown, PA 19055-2228

Mailing address

549 Stonybrook Dr
Levittown, PA 19055-2228
Phone (215) 943-2077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171219000352 PA Order and Referring Only - DentistPractitioner - Dentist 1759649825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS030384LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg Soffer General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780634105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 STONYBROOK DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552228",
            "telephone_number": "215-943-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 STONYBROOK DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552228",
            "telephone_number": "215-943-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFFER",
        "first_name": "GREGG",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030384L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.