Healthcare Provider Details

I. General information

NPI: 1184364028
Provider Name (Legal Business Name): SHARON A CARMONA-TOPKEN PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON A TOPKEN PTA

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 03/30/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185NJ-17 SOUTH, SUITE 101
PARAMUS NJ
07652
US

IV. Provider business mailing address

101 WOOD ST
WYCKOFF NJ
07481-2742
US

V. Phone/Fax

Practice location:
  • Phone: 201-560-0711
  • Fax:
Mailing address:
  • Phone: 201-819-2625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: