Individual provider Active NPI

Sergo Korshia, RDMS/RVT

  • Sonography Radiologic Technologist
  • River Edge, NJ
National Provider Identifier
1558260687
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
170250
Practice address
65 Rutgers PL Apt 3
River Edge, NJ 07661-2509
Phone
(917) 562-8827
NPI assigned
Nov 4, 2026
Last updated
Nov 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Sonography Radiologic Technologist 2471V0105X 170250
Sonography Radiologic Technologist 2471S1302X 170250 Primary

Addresses

Primary practice location

65 Rutgers PL Apt 3
River Edge, NJ 07661-2509

Mailing address

65 Rutgers PL Apt 3
River Edge, NJ 07661-2509
Phone (917) 562-8827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1558260687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RUTGERS PL APT 3",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612509",
            "telephone_number": "917-562-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RUTGERS PL APT 3",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612509",
            "telephone_number": "917-562-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORSHIA",
        "first_name": "SERGO",
        "credential": "RDMS/RVT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-11-04",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": "170250",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": "170250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Edge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.