Amita Kalia-Sharma, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MAO6929900 Issued in NJ

Practice address

1124 E Ridgewood Ave Ste 103
Ridgewood, NJ 07450-3915

Phone

(201) 652-8585

Fax

(201) 612-1439

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Valley Pulmonary & Sleep Disorder Center

  • Specialist
  • Ramsey, NJ
  • NPI 1679741086

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376619353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E. RIDGEWOOD AVE",
            "address_2": "SUITE 103",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-652-8585",
            "fax_number": "201-612-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E RIDGEWOOD AVE STE 103",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503915",
            "telephone_number": "201-652-8585",
            "fax_number": "201-612-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIA-SHARMA",
        "first_name": "AMITA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MAO6929900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036196",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Just, PH.D.
• Rupa Gopalan Juthani, M.D.
• Victoria R Kaczkowski, LPC LCADC
• Hirshel Kahn, MD
• John A. Kakolewski, MS,ED.S
• Katherine A Kandravy, LCSW
• Robin Deborah Kanen, PSY.D.
• Steven Jay Kanengiser, MD
• Paula Lynn Kaplan, CADC
• Karen Ann Karosy, M.ED, ATC

• Internal Medicine Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Internal Medicine Physician in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.