Individual provider Active NPI

Vida Sarkodie

  • Psychiatric/Mental Health Nurse Practitioner
  • Belleville, NJ
National Provider Identifier
1124414354
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00561600 Issued in NJ
Practice address
34 Brighton Ave
Belleville, NJ 07109-1230
Phone
(862) 596-0705
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00561600 NJ Primary

Addresses

Primary practice location

34 Brighton Ave
Belleville, NJ 07109-1230

Mailing address

34 Brighton Ave
Belleville, NJ 07109-1230
Phone (862) 596-0705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150515001428 NJ Practitioner - Nurse Practitioner 5991025884 Reassigns benefits to 4 organizations
I20241206002978 DC Practitioner - Nurse Practitioner 5991025884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

230 US Hwy 206
Suite 3
Flanders, NJ 07836-9287
Phone (973) 298-0812

3301 Richmond Hwy
Suite 1061
Alexandria, VA 22305-3044
Phone (973) 668-5502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Psychiatric Associates CurrentSince Jul 9, 2018 Accepting new patients
Vida Sarkodie Inc. Adult Health CurrentSince Feb 1, 2021 Accepting new patients
Holistic Medical Care LLC Adult Health CurrentSince Nov 27, 2024 Accepting new patients
Fairlawn Behavioral Associates LLC CurrentSince Oct 1, 2018 Accepting new patients
Vida Sarkodie Past Accepting new patients
Centra Medical Group, LLC Past Accepting new patients

Locations

320 Boston Post Rd
Ste 180
Darien, CT 06820
Phone (203) 309-0623

15-01 Broadway
Ste 6
Fair Lawn, NJ 07410
Phone (201) 342-4004

230 US Highway 206
Ste 3
Flanders, NJ 07836
Phone (203) 309-0623

230 US Highway 206
Flanders, NJ 07836
Phone (973) 298-0812

294 State St
Ste 2
Hackensack, NJ 07601
Phone (201) 342-4004

2816 Morris Ave
Ste 22
Union, NJ 07083
Phone (908) 623-3365

3301 Richmond Hwy
Alexandria, VA 22305
Phone (571) 316-7509

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1124414354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BRIGHTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091230",
            "telephone_number": "862-596-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BRIGHTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091230",
            "telephone_number": "862-596-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKODIE",
        "first_name": "VIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00561600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.