Provider Demographics
NPI:1437684818
Name:IRINA SOKOLINSKAYA APN PC
Entity type:Organization
Organization Name:IRINA SOKOLINSKAYA APN PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VERNOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-970-8700
Mailing Address - Street 1:3663 ROUTE 9 N
Mailing Address - Street 2:STE 103
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3518
Mailing Address - Country:US
Mailing Address - Phone:732-970-8700
Mailing Address - Fax:
Practice Address - Street 1:3663 ROUTE 9 N
Practice Address - Street 2:STE 103
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3518
Practice Address - Country:US
Practice Address - Phone:732-970-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06438600207R00000X
363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty