Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Sophia Jelke, DDS, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1518593839

Sophia Jelke, DDS, MD practises Oral Surgery in New York, New York. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

622 W 168th St
New York, NY 10032-3720
Phone: (305) 978-7808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 065730 (NY)

Record details

NPI number1518593839
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedMarch 18, 2020
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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