Individual provider Active NPI

Sharon Fortgang, CPNP-PC

  • Pediatric Nurse Practitioner
  • New York, NY
National Provider Identifier
1942730395
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
382824 Issued in NY
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
71764-1NYMDRegistered Nurse
382824NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atria Physician Practice New York, PC CurrentSince Jan 12, 2025 Accepting new patients

Locations

36 E 57th St
Fl 5
New York, NY 10022
Phone (212) 600-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24265/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.