NPIMap

Organization Active NPI

Vida Sarkodie

  • Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1952790651
Registry record updated Jan 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
VIDA SARKODIE
Practice address
655 E Jersey St
Elizabeth, NJ 07206-1259
Phone
(908) 994-7000
NPI assigned
Jan 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2015

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

Authorized official

Name
Vida Sarkodie, APNNPI 1124414354
Title
Advanced Nurse Practitioner
Phone
(862) 596-0705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

655 E Jersey St
Elizabeth, NJ 07206-1259

Mailing address

34 Brighton Ave
Belleville, NJ 07109-1230

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421539200000",
    "number": "1952790651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BRIGHTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061259",
            "telephone_number": "908-994-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA SARKODIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-18",
        "last_updated": "2015-01-18",
        "status": "A",
        "authorized_official_last_name": "SARKODIE",
        "authorized_official_first_name": "VIDA",
        "authorized_official_title_or_position": "ADVANCED NURSE PRACTITIONER",
        "authorized_official_telephone_number": "862-596-0705",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2015; 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.