Sharon Fortgang, CPNP-PC - Nurse Practitioner in Corona, NY

Sharon Fortgang, CPNP-PC is a Nurse Practitioner - Pediatrics based in Corona, New York. Sharon Fortgang is licensed to practice in New York (license number 382824) and her current practice location is 10211 Roosevelt Ave, Corona, New York. She can be reached at her office (for appointments etc.) via phone at (718) 898-5200.

NPI number for Sharon Fortgang is 1942730395 and her current mailing address is 351 Amsterdam Ave Apt 5n, New York, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942730395.

Contact Information

Sharon Fortgang, CPNP-PC
10211 Roosevelt Ave,
Corona, NY 11368-2331
(718) 898-5200
Not Available

Map and Direction




Provider's Profile

Full NameSharon Fortgang
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location10211 Roosevelt Ave, Corona, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942730395
  • Provider Enumeration Date: 06/19/2017
  • Last Update Date: 04/11/2018

Medical Identifiers

Medical identifiers for Sharon Fortgang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942730395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 71764-1 (New York)Secondary
363LP0200XNurse Practitioner - Pediatrics 382824 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sharon Fortgang is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sharon Fortgang, CPNP-PC
351 Amsterdam Ave Apt 5n,
New York, NY 10024-6918

Ph: (203) 215-9961
Sharon Fortgang, CPNP-PC
10211 Roosevelt Ave,
Corona, NY 11368-2331

Ph: (718) 898-5200

Reviews and Comments


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