Sharon Flynn, RD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

R801369 Issued in NJ

Practice address

769 Northfield Ave
CKD Services of W. Orange Ste. LL4
West Orange, NJ 07052-1198

Phone

(973) 669-8574

NPI assigned

Sep 4, 2008

Last updated

Sep 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sharon Docarmo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fresenius Medical Care Comprehensive CKD Services Inc

  dba FMC CKD Services of East Orange

  • Nurse Practitioner
  • Newark, NJ
  • NPI 1902108509
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1730337502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 STONE HILL RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692621",
            "telephone_number": "973-598-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 NORTHFIELD AVE",
            "address_2": "CKD SERVICES OF W. ORANGE STE. LL4",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521198",
            "telephone_number": "973-669-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "SHARON",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NJ",
            "license": "R801369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "DOCARMO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven C Fiske, M.D.
• Amanda E Fleissner, OTR
• Wislande Fleurissant
• Estella Flezinord
• Jeff Flyer, P.T.
• Nikita Fonarev
• Foot and Ankle Health Center of Bloomfield LLC
• Foot Care 2 You Inc
• Forge Medical Group, LLC (Forge Health)
• Form Physical Therapy LLC

• Renal Nutrition Registered Dietitian in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Renal Nutrition Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.