Individual provider Active NPI

Cindy Sickora, RN, MSN

  • Community Health Registered Nurse
  • Newark, NJ
National Provider Identifier
1174668453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
26NR04896000 Issued in NJ
Practice address
65 Bergen Street
Newark, NJ 07101-1709
Phone
(973) 972-9620
Fax
(973) 972-8775
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 26NR04896000 NJ Primary

Addresses

Primary practice location

65 Bergen Street
Newark, NJ 07101-1709

Mailing address

24 Colonial Dr
Morristown, NJ 07960-4728
Phone (973) 898-3834

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)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR04896000NJMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174668453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COLONIAL DR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604728",
            "telephone_number": "973-898-3834",
            "fax_number": "973-734-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BERGEN STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071011709",
            "telephone_number": "973-972-9620",
            "fax_number": "973-972-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKORA",
        "first_name": "CINDY",
        "credential": "RN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NJ",
            "license": "26NR04896000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.