Individual provider Active NPI

Lynda A Sheridan, DPM

  • Podiatrist
  • Clifton, NJ
National Provider Identifier
1164537767
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00192600 Issued in NJ
Practice address
1033 Clifton Ave
Clifton, NJ 07013
Phone
(973) 473-3344
Fax
(973) 473-8389
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00192600 NJ Primary

Addresses

Primary practice location

1033 Clifton Ave
Clifton, NJ 07013

Mailing address

3-19 17TH Street
Fair Lawn, NJ 07410
Phone (201) 797-7351

Other identifiers 1

IdentifierTypeStateIssuer
1109901MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000134 NJ Practitioner - Podiatry 2860659364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curalta Medical LLCGroup PAC ID 0749670453, 69 clinicians

Practice addresses (Care Compare)

1033 Clifton Ave
Suite 110
Clifton, NJ 07013-3517
Phone (973) 365-2208

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
83.84
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions20
Removal of nail tissue971
Removal or shaving of skin growth726
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Foot and Ankle CurrentSince Sep 28, 2022 Accepting new patients
Curalta Medical LLC Podiatrist CurrentSince Aug 1, 2022 Accepting new patients
Curalta Medical LLC Podiatrist CurrentSince Aug 1, 2022 Accepting new patients
Proactive Foot and Ankle CurrentSince Sep 28, 2022 Accepting new patients
Dma Eye Associates, LLC CurrentSince Dec 26, 2018 Accepting new patients

Locations

1033 Clifton Ave
Clifton, NJ 07013
Phone (973) 473-5700

1033 Clifton Ave
Ste 110
Clifton, NJ 07013
Phone (973) 365-2208

74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113

2565 Morris Ave
Union, NJ 07083
Phone (908) 687-2244

504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600

Interoperability endpoints

  • Direct secure messaging: lynda.sheridan@footcarecenter.chartmakerdirect.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1164537767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-19 17TH STREET",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-797-7351",
            "fax_number": "973-773-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-473-3344",
            "fax_number": "973-473-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "LYNDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00192600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.