Tatiana Sharahy (NPI# 1598889248, PAC ID# 4385537976) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1598889248 |
| PAC ID by PECOS | 4385537976 |
| Professional Enrollment ID | I20040206000270 |
| Full Name | Tatiana Sharahy |
| Organization Legal Name | INNOVATIVE SPINE CARE, LLC |
| Address |
1144 E Ridgewood Ave Ground Floor Ridgewood NJ 07450-3915 |
| Phone Number | 2014440020 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244486330 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1144 E Ridgewood Ave, Ground Floor, Ridgewood, NJ 07450-3915 | 2014440020 | INNOVATIVE SPINE CARE, LLC |
| 87 Berdan Ave, Suite 4, Wayne, NJ 07470-3210 | 9736929780 | XBODY HEALTH AND WELLNESS PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | INNOVATIVE SPINE CARE, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth M Figurelli | Physical Therapy | Innovative Spine Care, LLC | 1144 E Ridgewood Ave, Ground Floor, Ridgewood, NJ 07450-3915 |
| Jonathan R Hartman | Chiropractic | Innovative Spine Care, LLC | 1144 E Ridgewood Ave, Ground Floor, Ridgewood, NJ 07450-3915 |
| Dmitry Umanski | Physical Therapy | Innovative Spine Care, LLC | 1144 E Ridgewood Ave, Ground Floor, Ridgewood, NJ 07450-3915 |
| Jeffrey A Pammer | Chiropractic | Innovative Spine Care, LLC | 1144 E Ridgewood Ave, Ground Floor, Ridgewood, NJ 07450-3915 |
| Krystle A Castillo | Nurse Practitioner | Innovative Spine Care, LLC | 1144 E Ridgewood Ave, Ground Floor, Ridgewood, NJ 07450-3915 |
| Street Address |
1144 E RIDGEWOOD AVE GROUND FLOOR |
| City | RIDGEWOOD |
| State | NJ |
| Zip | 07450-3915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth M Figurelli | Physical Therapy | Innovative Spine Care, LLC | 1144 E Ridgewood Ave, Ground Floor, Ridgewood, NJ 07450-3915 |
| Jonathan R Hartman | Chiropractic | Innovative Spine Care, LLC | 1144 E Ridgewood Ave, Ground Floor, Ridgewood, NJ 07450-3915 |
| Dmitry Umanski | Physical Therapy | Innovative Spine Care, LLC | 1144 E Ridgewood Ave, Ground Floor, Ridgewood, NJ 07450-3915 |
| Jeffrey A Pammer | Chiropractic | Innovative Spine Care, LLC | 1144 E Ridgewood Ave, Ground Floor, Ridgewood, NJ 07450-3915 |
| Krystle A Castillo | Nurse Practitioner | Innovative Spine Care, LLC | 1144 E Ridgewood Ave, Ground Floor, Ridgewood, NJ 07450-3915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Marchese Tumminello | Clinical Social Worker | 535 E Ridgewood, Suite 10, Ridgewood, NJ 07450 | |
| Josephine Jarolmen | Clinical Social Worker | 115 Pine St, Ridgewood, NJ 07450-1619 | |
| Jasmine Aloni Cohn | Clinical Social Worker | 115 Pine St, Suite 300, Ridgewood, NJ 07450-1619 | |
| Susan J Syvarth | Clinical Social Worker | 115 Pine St, Ridgewood, NJ 07450-1619 | |
| Bonnie Malajian | Clinical Social Worker | 428 Cambridge Rd, Ridgewood, NJ 07450-1805 | |
| Douglas Liva | Ophthalmology | Liva Eye Center LLC | 625 Franklin Tpke, Ridgewood, NJ 07450-1913 |
| Rosemary Frasco | Optometry | Liva Eye Center LLC | 625 Franklin Tpke, Ridgewood, NJ 07450-1913 |
| Mahros K Isaac | Physical Therapy | Progressive Rehab and Home Care Pt and Ot Pllc | 537 Banta St, Ridgewood, NJ 07450-1918 |
| Eui-sun L Yoon | Psychiatry | 589 Franklin Tpke, Suite 11, Ridgewood, NJ 07450-1928 | |
| Amy W. Stevens | Dermatology | Northern Bergen Dermatology Group Pa | 400 Route 17, Ridgewood, NJ 07450-2010 |
| Find all physicians in zip 07450 | |||
| City | RIDGEWOOD |
| Zip Code | 07450 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | RIDGEWOOD + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.