Individual provider Active NPI

Sharon Lynne Paterno, DC, CCSP

  • Sports Physician Chiropractor
  • Paramus, NJ
National Provider Identifier
1861511958
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2972 Issued in NJ
Practice address
343 Paramus Rd
Paramus, NJ 07652-1511
Phone
(201) 652-0202
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2972 NJ Primary

Addresses

Primary practice location

343 Paramus Rd
Paramus, NJ 07652-1511

Mailing address

343 Paramus Rd
Paramus, NJ 07652-1511
Phone (201) 652-0202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000169 NJ Practitioner - Chiropractic 6507026218 Practice locations: Paramus, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

343 Paramus Rd
Paramus, NJ 07652-1511
Phone (201) 652-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2972NJMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S Evangel DC PC PastSince Sep 4, 2022 Accepting new patients

Organizations & group practices 1

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861511958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 PARAMUS RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521511",
            "telephone_number": "201-652-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 PARAMUS RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521511",
            "telephone_number": "201-652-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATERNO",
        "first_name": "SHARON",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DC, CCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "2972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.