Provider Demographics
NPI:1932503968
Name:BYKERK-LONERGAN, SHARON ANN (LMT, APP)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ANN
Last Name:BYKERK-LONERGAN
Suffix:
Gender:F
Credentials:LMT, APP
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:ANN
Other - Last Name:BYKERK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:237 5TH STREET
Mailing Address - Street 2:APT 3
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302
Mailing Address - Country:US
Mailing Address - Phone:201-484-0396
Mailing Address - Fax:
Practice Address - Street 1:121 NEWARK AVE.
Practice Address - Street 2:SUITE 402
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302
Practice Address - Country:US
Practice Address - Phone:917-239-8476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT00047400225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist