Organization Active NPI

Vida Sarkodie Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Flanders, NJ
National Provider Identifier
1407452006
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VIDA SARKODIE INC.
Practice address
230 Route 206 Ste 3
Flanders, NJ 07836-9189
Phone
(973) 298-0812
NPI assigned
Dec 8, 2020
Last updated
Dec 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Vida Sarkodie, APNNPI 1124414354
Title
Nurse Practitioner
Phone
(862) 596-0705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary
Adult Health Clinical Nurse Specialist 364SA2200X

Addresses

Primary practice location

230 Route 206 Ste 3
Flanders, NJ 07836-9189

Mailing address

24 Kennedy Dr
Flanders, NJ 07836-9229
Phone (862) 596-0705

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HELP@VIDASINC.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210415002390 NJ Part B Supplier - Clinic/Group Practice 9537577341 Receives reassigned benefits from 3 practitioners
Practice locations: Flanders, NJ
O20250227003429 DC Part B Supplier - Clinic/Group Practice 9537577341 Receives reassigned benefits from 2 practitioners
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

230 US Highway 206
Ste 3
Flanders, NJ 07836
Phone (203) 309-0623

2816 Morris Ave
Ste 22
Union, NJ 07083
Phone (908) 623-3365

Interoperability endpoints

  • Direct secure messaging: help@vidasinc.com

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1407452006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 KENNEDY DR",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369229",
            "telephone_number": "862-596-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ROUTE 206 STE 3",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369189",
            "telephone_number": "973-298-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA SARKODIE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "SARKODIE",
        "authorized_official_first_name": "VIDA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "862-596-0705",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HELP@VIDASINC.COM",
            "affiliation": "N",
            "endpointDescription": "GENERAL EMAIL",
            "address_1": "230 Route 206",
            "city": "Flanders",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078369189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flanders, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.