Sharaz Sackroolar

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

243 Boyd Ave
Jersey City, NJ 07304-1103

Phone

(201) 680-8672

NPI assigned

Sep 19, 2023

Last updated

Sep 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1407634785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 BOYD AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 BOYD AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041103",
            "telephone_number": "201-680-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKROOLAR",
        "first_name": "SHARAZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keroles Mongy Shafik Saadalla
• George Henry Sabogal, LCSW
• John Sabulis, P.T
• Sachin Pharmacy Inc
• Sachoy Fowler
• Saddlebrook Enterprise Inc
• Amjad Saeed, PHARM D
• Hazrat Saeed, NP
• Safire1
• Nana Safoaah, MD

• Electroneurodiagnostic Specialist/Technologist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Electroneurodiagnostic Specialist/Technologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.