Ronald Marc Sidorsky, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00116800 Issued in NJ

Practice address

3155 Route 10 East
Suite 215
Denville, NJ 07834

Phone

(973) 824-8201

Fax

(973) 824-0670

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224460800000",
    "number": "1053486100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 ROUTE 10 EAST",
            "address_2": "SUITE 215",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "07834",
            "telephone_number": "973-824-8201",
            "fax_number": "973-824-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 ROUTE 10 EAST",
            "address_2": "SUITE 215",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "07834",
            "telephone_number": "973-824-8201",
            "fax_number": "973-824-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDORSKY",
        "first_name": "RONALD",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00116800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Andrew Shore, D.O
• Emily Paige Shortino
• Brian Shrager, MD
• Shree Devi Drug Inc (Gerard's Pharmacy)
• Rachel Ann Sicoli, RN
• Stacey Beth Siegel, D.O.
• Sarah Elizabeth Siessel
• Kevin Boyd Siewers, NP
• Azam Sikander, M.D.
• Jesse A. Silverman, M.D.

• Podiatrist in Denville, NJ
• Providers in Denville, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.