Active NPI
Sharon Fortgang, CPNP-PC
- Pediatric Nurse Practitioner
- New York, NY
National Provider Identifier
1942730395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 382824
- Practice address
- Atria
36 E 57TH Street 5TH FL
New York, NY 10022 - Phone
- (212) 600-2000
- NPI assigned
- Jun 19, 2017
- Last updated
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 382824 | NY | Primary |
| Registered Nurse | 163W00000X | 71764-1 | NY |
Addresses
Primary practice location
Atria
36 E 57TH Street 5TH FL
New York, NY 10022
Mailing address
351 Amsterdam Ave Apt 5N
New York, NY 10024-6918
Phone (203) 215-9961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71764-1 | NY | MD | Registered Nurse |
| 382824 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atria Physician Practice New York, PC | Current | Accepting new patients |
Locations
36 E 57th St
Fl 5
New York, NY 10022
Phone (212) 600-2000
Interoperability endpoints
- https://api.platform.athenahealth.com/24265/brand/1/csg/1/fhir/r4
- sharon.fortgang.1@24265.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- New York, NY
- NPI 1194487520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1942730395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 AMSTERDAM AVE APT 5N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246918",
"telephone_number": "203-215-9961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ATRIA",
"address_2": "36 E 57TH STREET 5TH FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-600-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTGANG",
"first_name": "SHARON",
"credential": "CPNP-PC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "382824",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "71764-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.