Individual provider Active NPI

Sherry Zapata Christiana, PHYSICIANS ASSISTANT

  • Physician Assistant
  • Teaneck, NJ
National Provider Identifier
1801859418
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00133200 Issued in NJ
Practice address
718 Teaneck Road
Teaneck, NJ 07666
Phone
(201) 833-3000
Fax
(610) 617-6280
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00133200 NJ Primary

Addresses

Primary practice location

718 Teaneck Road
Teaneck, NJ 07666

Mailing address

PO Box 13700-3765
Philadelphia, PA 19191-3765
Phone (610) 668-6471

Other practice location 1

22-08 NJ-208
Suite 2
Fairlawn, NJ 07410
Phone (201) 583-5525

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060321000173 NJ Practitioner - Physician Assistant 0143237859 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Teaneck Emergency Physicians PA Past Accepting new patients

Organizations & group practices 2

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1801859418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13700-3765",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191913765",
            "telephone_number": "610-668-6471",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK ROAD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-833-3000",
            "fax_number": "610-617-6280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22-08 NJ-208",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "NJ",
            "postal_code": "07410",
            "country_code": "US",
            "telephone_number": "201-583-5525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIANA",
        "first_name": "SHERRY",
        "middle_name": "ZAPATA",
        "name_prefix": "Ms.",
        "credential": "PHYSICIANS ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00133200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.