Organization Active NPI

Michael L Sher MD LLC

  • Internal Medicine Physician
  • Brick, NJ
National Provider Identifier
1114953684
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06793600 Issued in NJ
Legal business name
MICHAEL L SHER MD LLC
Practice address
74 Brick Blvd
Suite #115
Brick, NJ 08723-7984
Phone
(732) 920-8001
Fax
(732) 920-8004
NPI assigned
Jun 24, 2006
Last updated
Aug 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Authorized official

Name
Michael L Sher, MDNPI 1336149707
Title
President
Phone
(732) 920-8001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06793600 NJ Primary

Addresses

Primary practice location

74 Brick Blvd
Suite #115
Brick, NJ 08723-7984

Mailing address

74 Brick Blvd
Suite #115
Brick, NJ 08723-7984
Phone (732) 920-8001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061004000035 NJ Part B Supplier - Clinic/Group Practice 5799780367 Receives reassigned benefits from 1 practitioner
Practice locations: Brick, NJ

National Provider Directory

National Provider Directory

Locations

74 Brick Blvd
Ste 115
Brick, NJ 08723
Phone (732) 920-8001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1114953684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD",
            "address_2": "SUITE #115",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-920-8001",
            "fax_number": "732-920-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD",
            "address_2": "SUITE #115",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-920-8001",
            "fax_number": "732-920-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L SHER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "SHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-920-8001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06793600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.