Active NPI
Tatiana Sharahy, M.D.
- Internal Medicine Physician
- Ridgewood, NJ
National Provider Identifier
1598889248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA07099100
- 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.
-
- Internal Medicine Physician
- Wayne, NJ
- NPI 1417340068
Internal Medicine, NJ
-
- Physical Therapist
- Elmwood Park, NJ
- NPI 1881817476
-
- Specialist
- Fair Lawn, NJ
- NPI 1144561416
-
- Internal Medicine Physician
- Englewood Cliffs, NJ
- NPI 1407893662
Internal Medicine
-
- Clinical Medical Laboratory
- Wayne, NJ
- NPI 1972052512
-
- Internal Medicine Physician
- Englewood Cliffs, NJ
- NPI 1205863883
Internal Medicine
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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040206000270 | NJ | Practitioner - Internal Medicine | 4385537976 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xbody Health & Wellness PA | Internal Medicine | Current | Accepting new patients |
| Jointkare Physical Therapy and Services Professional Association | Past | Accepting new patients | |
| Novalab Corp | Past | Accepting new patients | |
| PT Medical Center, PC | Internal Medicine | Past | Accepting new patients |
| Health One Medical & Physical Rehabilitation LLC | Past | Accepting new patients | |
| Medicine and Rehabilitation PC | Internal Medicine | Past | Accepting new patients |
Locations
87 Berdan Ave
Ste 3
Wayne, NJ 07470
Phone (973) 692-9780
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA07099100 | NJ | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 25MA07099100 | NJ |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.