DR. SHARANAH GABRIEL RIDORE D.O.
NPI 1235692906
Student in an Organized Health Care Education/Training Program in Neptune, NJ

Q: What is Sharanah Ridore's NPI number?

The NPI number for Sharanah Ridore is 1235692906. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Q: What is Sharanah Ridore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sharanah Ridore was last updated on April 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2019PECOS Enrolled

1945 STATE ROUTE 33, NEPTUNE, NJ 07753(732) 776-4483(732) 776-4798 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Sharanah Gabriel Ridore D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHARANAH GABRIEL RIDORE D.O. (NPI 1235692906) is an individual student in an organized health care education/training program in Neptune, New Jersey and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235692906

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. SHARANAH GABRIEL RIDORECredential: D.O.

Location Address1945 STATE ROUTE 33Neptune, NJ 07753-4859

Mailing Address1945 State Route 33Neptune, NJ 07753-4859 · (732) 776-4483 · Fax (732) 776-4798

Phone(732) 776-4483

Fax(732) 776-4798

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 10, 2019

✔ NPI 1235692906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1945 STATE ROUTE 33, Neptune, NJ 07753

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sharanah Gabriel Ridore D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133609423

PECOS Enrollment IDI20260216003384

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty