Individual provider Active NPI

Michael Sharp

  • Medical Physician Assistant
  • Egg Harbor TWP, NJ
National Provider Identifier
1104281062
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00454400 Issued in NJ
Practice address
2500 English Creek Avenue, BLDG 1300
Egg Harbor TWP, NJ 08234-5598
Phone
(800) 321-9999
Fax
(267) 479-1321
NPI assigned
Dec 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X MA059225 PA
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X 25MP00454400 NJ Primary

Addresses

Primary practice location

2500 English Creek Avenue, BLDG 1300
Egg Harbor TWP, NJ 08234-5598

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (609) 677-7003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171102000409 PA Practitioner - Physician Assistant 3971869298 Reassigns benefits to 1 organization
I20171206000442 NJ Practitioner - Physician Assistant 3971869298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rothman Orthopaedics of New Jersey, LLCGroup PAC ID 6709864846, 175 clinicians

Practice addresses (Care Compare)

2500 English Creek Ave
Building 1300
Egg Harbor Township, NJ 08234-5598
Phone (800) 321-9999

517 Route 72 W
Suite J
Manahawkin, NJ 08050-2821
Phone (800) 321-9999

999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999

Hospital & facility affiliations

  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00454400NJMDMedical Physician Assistant
MA059225PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Oct 9, 2017 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Multi-Specialty CurrentSince Oct 9, 2017 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC Multi-Specialty CurrentSince Nov 6, 2017 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Nov 6, 2017 Accepting new patients

Locations

2500 English Creek Ave
Ste 1300
Egg Hbr Twp, NJ 08234
Phone (609) 677-6060

999 Route 73 N
Ste 401
Marlton, NJ 08053

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

833 Chestnut St
Ste 1402
Philadelphia, PA 19107
Phone (267) 339-3543

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1104281062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "609-677-7003",
            "fax_number": "267-339-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVENUE, BLDG 1300",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345598",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-20",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059225",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00454400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor TWP, NJ

Sources for this page

Verify at the official NPI Registry.