Individual provider Active NPI

Sharon De la Cerna, P.T.

  • Physical Therapist
  • Bloomfield, NJ
National Provider Identifier
1366643520
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00916300 Issued in NU
Practice address
98 Merkel Dr
Bloomfield, NJ 07003-3139
Phone
(973) 338-6351
NPI assigned
May 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Physical Therapist 225100000X 40QA00916300 NU Primary

Addresses

Primary practice location

98 Merkel Dr
Bloomfield, NJ 07003-3139

Mailing address

98 Merkel Dr
Bloomfield, NJ 07003-3139
Phone (973) 338-6351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110621000562 NJ Practitioner - Physical Therapist in Private Practice 4385822444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians
Diego Ruiz DC LLCGroup PAC ID 4284727660, 6 clinicians

Practice addresses (Care Compare)

102 Engle St
Englewood, NJ 07631-2938
Phone (201) 608-5572

1233 Main Ave
Clifton, NJ 07011-2241
Phone (973) 928-1144

153 Bergen Blvd
Suite 1
Fairview, NJ 07022-1937
Phone (201) 345-6173

211 Berdan Ave
Wayne, NJ 07470-3236
Phone (201) 249-6930

218 Bloomfield Ave
Bloomfield, NJ 07003-5741
Phone (973) 750-0880

266 Harristown Rd
Suite 200
Glen Rock, NJ 07452-3354
Phone (201) 445-7000

325 Claremont Ave
Unit 34
Montclair, NJ 07042-2218
Phone (201) 345-6173

403 Valley Brook Ave
Lyndhurst, NJ 07071-1935
Phone (201) 345-5905

4706 Bergenline Ave
Union City, NJ 07087-5112
Phone (201) 574-7770

50 Main St
Unit D
Hackensack, NJ 07601-7047
Phone (551) 244-1113

505 Washington Ave
Belleville, NJ 07109-3332
Phone (201) 771-0880

5665 JFK Boulevard
Suite 7
North Bergen, NJ 07047-3223
Phone (973) 692-6400

582 Franklin Ave
Nutley, NJ 07110-1253
Phone (973) 661-4601

600 Midland Ave
Garfield, NJ 07026-1665
Phone (862) 406-3800

634 Summit Ave
Jersey City, NJ 07306-3705
Phone (551) 355-0010

720 Bergen Ave
Jersey City, NJ 07306-4706
Phone (201) 857-0527

97 Spruce St
Paterson, NJ 07501-1720
Phone (201) 857-0527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upbeat Physical Therapy and Wellness Center LLC Physical Therapist Current Accepting new patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Diego Ruiz DC LLC Physical Therapist CurrentSince Sep 18, 2019 Accepting new patients
Prime Rehabilitation Services, Inc. Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients
Sportsmed PT LLC Physical Therapist CurrentSince Jun 7, 2022 Accepting new patients

Locations

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5905

582 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-4601

1579 Old Freehold Rd
Toms River, NJ 08755
Phone (732) 349-0988

905 State Route 10
Ste 1
Whippany, NJ 07981
Phone (973) 929-2729

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

1940 Commerce St
Ste 210
Yorktown Heights, NY 10598
Phone (914) 420-3132

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, 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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366643520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MERKEL DR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033139",
            "telephone_number": "973-338-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MERKEL DR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033139",
            "telephone_number": "973-338-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CERNA",
        "first_name": "SHARON",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": "40QA00916300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.