Individual provider Active NPI

Sharon Soroka Ukleja, P A

  • Physician Assistant
  • Ridgewood, NJ
National Provider Identifier
1154531960
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MP00056 Issued in NJ
Practice address
20 Wilsey SQ Ste C
Ridgewood, NJ 07450-3730
Phone
(201) 957-7220
Fax
(201) 977-6747
NPI assigned
May 23, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MP00056 NJ Primary

Addresses

Primary practice location

20 Wilsey SQ Ste C
Ridgewood, NJ 07450-3730

Mailing address

20 Wilsey Square
Suite C
Ridgewood, NJ 07450
Phone (201) 957-7220

Other practice location 1

330 Ratzer Rd
Suite # 7
Wayne, NJ 07470-7702
Phone (973) 694-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MP00056NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne OB GYN LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154531960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WILSEY SQUARE",
            "address_2": "SUITE C",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-957-7220",
            "fax_number": "201-977-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WILSEY SQ STE C",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503730",
            "telephone_number": "201-957-7220",
            "fax_number": "201-977-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Ratzer Rd",
            "address_2": "Suite # 7",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074707702",
            "country_code": "US",
            "telephone_number": "973-694-2222",
            "fax_number": "973-694-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UKLEJA",
        "first_name": "SHARON",
        "middle_name": "SOROKA",
        "credential": "P A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "MP00056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.