Individual provider Active NPI

Igor Sobol, M.D.

  • Neurology Physician
  • Edison, NJ
National Provider Identifier
1992858112
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA07306000 Issued in NJ
Practice address
2 Lincoln Hwy. Suite 509
Edison, NJ 08820
Phone
(732) 767-1500
Fax
(732) 767-0090
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 223832080 NJ
Neurology Physician 2084N0400X 25MA07306000 NJ Primary

Addresses

Primary practice location

2 Lincoln Hwy. Suite 509
Edison, NJ 08820

Mailing address

2 Lincoln Hwy.
Edison, NJ 08820
Phone (732) 767-1500

Other identifiers 1

IdentifierTypeStateIssuer
0042072MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110929000344 NJ Practitioner - Neurology 0648227702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians
General Neurology and Headache Disorders, P.a.Group PAC ID 8820045982, 2 clinicians

Practice addresses (Care Compare)

1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011

2 Lincoln Hwy
Suite 509
Edison, NJ 08820-3961
Phone (732) 767-1500

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (732) 442-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07306000NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Neurology and Headache Disorders, P.a. CurrentSince Jul 1, 2002 Accepting new patients
Hudson MD Group CurrentSince Apr 15, 2025 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients
Diagnostic Ultrasound Plus Inc Past Accepting new patients

Locations

2 State Route 27
Ste 509
Edison, NJ 08820
Phone (732) 767-1500

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

9 Hospital Dr
Ste A22
Toms River, NJ 08755
Phone (973) 429-1300

443 Northfield Ave
West Orange, NJ 07052
Phone (973) 324-0103

Organizations & group practices 4

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 2

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1992858112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY.",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-767-1500",
            "fax_number": "732-767-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY. SUITE 509",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-767-1500",
            "fax_number": "732-767-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOL",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "223832080",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA07306000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042072",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.