Individual provider Active NPI

Tatiana Sharahy, M.D.

  • Internal Medicine Physician
  • Ridgewood, NJ
National Provider Identifier
1598889248
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07099100 Issued in NJ
Practice address
1144 E Ridgewood Ave
Ridgewood, NJ 07450-3915
Phone
(201) 444-0020
Fax
(201) 444-0026
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Xbody Health and Wellness PA 8 clinicians

Practice addresses (Care Compare)

87 Berdan Ave
Suite 3
Wayne, NJ 07470-3210
Phone (973) 692-9780

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040206000270 NJ Practitioner - Internal MedicinePractitioner - Physical Medicine and Rehabilitation 4385537976 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Xbody Health & Wellness PA Internal Medicine CurrentSince Feb 15, 2015 Accepting new patients
Jointkare Physical Therapy and Services Professional Association PastSince Apr 1, 2013 Accepting new patients
Novalab Corp PastSince Sep 23, 2016 Accepting new patients
PT Medical Center, PC Internal Medicine Past Accepting new patients
Health One Medical & Physical Rehabilitation LLC PastSince Dec 20, 2007 Accepting new patients
Medicine and Rehabilitation PC Internal Medicine PastSince Nov 14, 2016 Accepting new patients

Locations

87 Berdan Ave
Ste 3
Wayne, NJ 07470
Phone (973) 692-9780

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07099100 NJ Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25MA07099100 NJ

Addresses

NPPES NPI Registry

Primary practice location

1144 E Ridgewood Ave
Ridgewood, NJ 07450-3915

Mailing address

1144 E Ridgewood Ave
Ridgewood, NJ 07450-3915
Phone (201) 444-0020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1598889248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503915",
            "telephone_number": "201-444-0020",
            "fax_number": "201-444-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503915",
            "telephone_number": "201-444-0020",
            "fax_number": "201-444-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARAHY",
        "first_name": "TATIANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07099100",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA07099100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.