DR. JACQUELINE A SOBOTA DMD, PHD
NPI 1669603411
Dentist - General Practice in Mamaroneck, NY
About Dr. Jacqueline A Sobota Dmd, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELINE A SOBOTA DMD, PHD (NPI 1669603411) is an individual general practice provider in Mamaroneck, New York, licensed in New York (055300-1) and active in the NPI registry since July 2009. She has opted out of Medicare through December 3, 2026.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jacqueline A Sobota Dmd, Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 3, 2014 through December 3, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10543 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAMARONECK, NY 10543
MAMARONECK, NY 10543
MAMARONECK, NY 10543
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacqueline Sobota's NPI number?
The NPI number for Jacqueline Sobota is 1669603411. It was assigned to this individual provider in the NPPES registry on July 28, 2009.
Where is Jacqueline Sobota located?
Jacqueline Sobota practices at 875 Mamaroneck Ave Suite 302, Mamaroneck, NY 10543. The listed phone number is (914) 835-6004.
What is Jacqueline Sobota's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Jacqueline Sobota enrolled in Medicare?
No. Jacqueline Sobota has opted out of Medicare through December 3, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Jacqueline Sobota accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jacqueline Sobota as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacqueline Sobota was last updated on February 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jacqueline A Sobota, DMD, PHD · NPI 1669603411
General Practice provider in Mamaroneck, New York. Individual provider, active in the CMS NPPES registry since July 28, 2009.
## Identity
- **NPI:** 1669603411 (Entity type: Individual)
- **Enumerated:** July 28, 2009
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 055300-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 875 MAMARONECK AVE, SUITE 302, Mamaroneck, NY 10543-1900
- **Phone:** (914) 835-6004
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 3, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** February 13, 2014
- **Other identifiers:** Medicaid 03632684 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1669603411) · Data from the CMS NPPES public registry.