Individual provider Active NPI

Sally M Sikora, MSN RN CNS C

  • Gastroenterology Physician
  • Egg Harbor Township, NJ
National Provider Identifier
1952506065
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
26NC04948200 Issued in NJ
Practice address
3205 Fire Road
Suite 4
Egg Harbor Township, NJ 08234-5857
Phone
(609) 407-1220
Fax
(609) 407-7149
NPI assigned
Jun 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Gastroenterology Physician 207RG0100X 26NC04948200 NJ Primary

Addresses

Primary practice location

3205 Fire Road
Suite 4
Egg Harbor Township, NJ 08234-5857

Mailing address

3205 Fire Road
Suite 4
Egg Harbor Township, NJ 08234-5857
Phone (609) 407-1220

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)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NC04948200NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Gastroenterology Associates, P.a. Gastroenterology Current Accepting new patients

Locations

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

3205 Fire Rd
Ste 4
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952506065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 FIRE ROAD",
            "address_2": "SUITE 4",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345857",
            "telephone_number": "609-407-1220",
            "fax_number": "609-407-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 FIRE ROAD",
            "address_2": "SUITE 4",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345857",
            "telephone_number": "609-407-1220",
            "fax_number": "609-407-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORA",
        "first_name": "SALLY",
        "middle_name": "M",
        "credential": "MSN RN CNS C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "26NC04948200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.