Active NPI
Shikha Rao, MD
- MOHS-Micrographic Surgery Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 25MA11550900
- Practice address
- 20 Prospect Ave Ste 702
Hackensack, NJ 07601-1974 - Phone
- (212) 283-3000
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 25MA11550900 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 25MA11550900 | NJ | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 25MA11550900 | NJ | Primary |
Addresses
Primary practice location
20 Prospect Ave Ste 702
Hackensack, NJ 07601-1974
Mailing address
2701 Queens PLZ N FL 10
Long Island City, NY 11101-4022
Phone (212) 283-3000
Other practice location 1
205 N. East Avenue
2nd fl CAB
Jackson, MI 49201
Phone (517) 205-3964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 L St
Sacramento, CA 95816-5616
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 106 |
| Removal of skin lesions | 13 |
| Removal of skin cancer | 842 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11550900 | NJ | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Dermatology | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Schweiger Dermatology, PC | Dermatology | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
2951 Benefit Way
Sacramento, CA 95834
Phone (916) 285-8100
20 Prospect Ave
Ste 702
Hackensack, NJ 07601
Phone (201) 441-9890
105 Raider Blvd
Ste 203
Hillsborough, NJ 08844
Phone (201) 299-4521
712 E Bay Ave
Ste 18
Manahawkin, NJ 08050
2701 Queens Plz N
Fl 10
Long Island City, NY 11101
Phone (203) 996-6379
Interoperability endpoints
- srao677429@hisp.ehr.sutterhealth.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Dermatology
-
- Dermatology Physician
- Elmer, NJ
- NPI 1104229392
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1093201162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 QUEENS PLZ N FL 10",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014022",
"telephone_number": "212-283-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PROSPECT AVE STE 702",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011974",
"telephone_number": "212-283-3000"
}
],
"practiceLocations": [
{
"address_1": "205 N. East Avenue",
"address_2": "2nd fl CAB",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "49201",
"country_code": "US",
"telephone_number": "517-205-3964",
"fax_number": "517-205-7050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAO",
"first_name": "SHIKHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-02",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "25MA11550900",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NJ",
"license": "25MA11550900",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NJ",
"license": "25MA11550900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.