Individual provider Active NPI

Indu Sharma, OTR

  • Occupational Therapist
  • Paterson, NJ
National Provider Identifier
1679760193
Registry record updated Sep 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00159900 Issued in NJ
Practice address
186 6TH Ave FL 1
Paterson, NJ 07524-1225
Phone
(201) 655-3207
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00159900 NJ Primary

Addresses

Primary practice location

186 6TH Ave FL 1
Paterson, NJ 07524-1225

Mailing address

PO Box 233
Alpine, NJ 07620-0233
Phone (201) 655-3207

Other practice location 1

109 Midland Ave
Elmwood Park, NJ 07407-2414
Phone (201) 655-3207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000155 NJ Practitioner - Occupational Therapist in Private Practice 2264583822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Rehab PA LLCGroup PAC ID 5193144558, 2 clinicians

Practice addresses (Care Compare)

185 6TH Ave
Suite 1
Paterson, NJ 07524-1247
Phone (201) 655-3207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00159900NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology and Rehab PA LLC Occupational Therapist CurrentSince Jan 8, 2022 Accepting new patients
Dr Luis F Luna MD LLC CurrentSince Aug 1, 2022 Accepting new patients
Park Physical Therapy, LLC PastSince Oct 13, 2019 Accepting new patients

Locations

148 State St
Fl 10
Boston, MA 02109
Phone (617) 426-2026

37 Brook Ave
Maywood, NJ 07607
Phone (201) 291-8811

540 Straight St
Unit 2C
Paterson, NJ 07503
Phone (862) 657-5500

185 6th Ave
Ste 1
Paterson, NJ 07524
Phone (201) 655-3207

32 Hine St
Ste 103
Paterson, NJ 07503
Phone (973) 341-3782

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663977600000",
    "number": "1679760193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 233",
            "city": "ALPINE",
            "state": "NJ",
            "postal_code": "076200233",
            "telephone_number": "201-655-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 6TH AVE FL 1",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075241225",
            "telephone_number": "201-655-3207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Midland Ave",
            "address_purpose": "LOCATION",
            "city": "Elmwood Park",
            "state": "NJ",
            "postal_code": "074072414",
            "country_code": "US",
            "telephone_number": "201-655-3207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "INDU",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2022-09-24",
        "certification_date": "2022-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00159900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.