Organization Active NPI

Tatiana Sharahy MD Inc

  • Internal Medicine Physician
  • Wayne, NJ
National Provider Identifier
1235539438
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07099100 Issued in NJ
Legal business name
TATIANA SHARAHY MD INC
Practice address
87 Berdan Ave
Suite 2B
Wayne, NJ 07470-3210
Phone
(973) 692-9631
NPI assigned
Aug 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Tatiana Sharahy, MD
Title
Owner
Phone
(973) 692-9631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA07099100 NJ Primary

Addresses

Primary practice location

87 Berdan Ave
Suite 2B
Wayne, NJ 07470-3210

Mailing address

87 Berdan Ave
Suite 2B
Wayne, NJ 07470-3210
Phone (973) 692-9631

National Provider Directory

National Provider Directory

Locations

87 Berdan Ave
Ste 2B
Wayne, NJ 07470
Phone (973) 692-9631

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1235539438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 BERDAN AVE",
            "address_2": "SUITE 2B",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703210",
            "telephone_number": "973-692-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 BERDAN AVE",
            "address_2": "SUITE 2B",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703210",
            "telephone_number": "973-692-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATIANA SHARAHY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "SHARAHY",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-692-9631",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07099100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.