Sharon Leela Patibandla, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00493500 Issued in NJ

Practice address

246 Clifton Ave Ste 4
Clifton, NJ 07011-1953

Phone

(973) 928-2715

NPI assigned

Jun 29, 2019

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gmed Healthcare PCGroup PAC ID 8022292564, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Gmed Healthcare PC

  • Family Medicine Physician
  • Clifton, NJ
  • NPI 1508169160
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561766400000",
    "number": "1760044796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 GATES CT",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079503472",
            "telephone_number": "862-222-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 CLIFTON AVE STE 4",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111953",
            "telephone_number": "973-928-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIBANDLA",
        "first_name": "SHARON LEELA",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-29",
        "last_updated": "2019-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00493500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siddhi J Patel, PSY.D.
• Swarupa S Patel, D.D.S
• Tejal Patel
• Fredrick J Paternoster, DDS
• Neha Pathak
• Patient Care New Jersey, Inc.
• Michele Patti, LPC, SAC
• Salvatore Patti III, D.C.
• Salvatore Patti, D.C.
• Paul C Krisa, M.D, PA

• Medical Physician Assistant in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; 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.

Verify at the official NPI Registry.