Individual provider Active NPI

Jennifer Sobol, PA

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1801293121
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00332100 Issued in NJ
Practice address
90 Southside Ave
Suite 350
Asheville, NC 28801-4160
Phone
(828) 277-4810
NPI assigned
Dec 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017426-1 NY
Physician Assistant 363A00000X 25MP00332100 NJ Primary
Physician Assistant 363A00000X 0010-05817 NC

Addresses

Primary practice location

90 Southside Ave
Suite 350
Asheville, NC 28801-4160

Mailing address

404 Creek Crossing Blvd
Hainesport, NJ 08036-2768
Phone (609) 845-3988

Other identifiers 1

IdentifierTypeStateIssuer
1801293121MedicaidNC

Other names 1

  • Jennifer Chou Former name

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
I20190523000051 NJ Practitioner - Physician Assistant 5799085452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Naspac1 LLCGroup PAC ID 1355563404, 14 clinicians

Practice addresses (Care Compare)

404 Creek Crossing Blvd
Hainesport, NJ 08036-2768
Phone (609) 845-3988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017426-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Naspac1 LLC CurrentSince Apr 15, 2019 Accepting new patients
Naspac1 LLC CurrentSince Apr 15, 2019 Accepting new patients
Lawrence County Memorial Hospital Past Accepting new patients

Locations

1601 Kings Hwy N
Ste 800
Cherry Hill, NJ 08034
Phone (856) 433-6200

404 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 845-3988

Interoperability endpoints

  • Direct secure messaging: jsobol251895@direct.myadvocateaurora.org

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": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1801293121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CREEK CROSSING BLVD",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362768",
            "telephone_number": "609-845-3988",
            "fax_number": "609-288-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SOUTHSIDE AVE",
            "address_2": "SUITE 350",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014160",
            "telephone_number": "828-277-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOL",
        "first_name": "JENNIFER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017426-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00332100",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05817",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801293121",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CHOU",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.