Individual provider Active NPI

Michael Bruce Sherman, M.D.

  • Allergy & Immunology Physician
  • Marlboro, NJ
National Provider Identifier
1124019930
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MA64347 Issued in NJ
Practice address
15 S Main St
Marlboro, NJ 07746-1595
Phone
(732) 303-8787
Fax
(732) 303-7870
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MA64347 NJ Primary

Addresses

Primary practice location

15 S Main St
Marlboro, NJ 07746-1595

Mailing address

15 S Main St
Marlboro, NJ 07746-1595
Phone (732) 303-8787

Other practice location 1

1 Bethany Rd
Suite 11
Hazlet, NJ 07730-1663
Phone (732) 303-8787

Other identifiers 1

IdentifierTypeStateIssuer
7008503MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060502000509 NJ Practitioner - Allergy/Immunology 5496765620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Albert Einstein College of Medicine of Yeshiva University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 S Main St
Marlboro, NJ 07746-1595
Phone (732) 303-8787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA64347NJMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Center, P.C. Allergy & Immunology CurrentSince Mar 13, 2000 Accepting new patients
ENT and Allergy Associates LLP Allergy & Immunology Past Accepting new patients

Locations

1 Bethany Rd
Ste 11
Hazlet, NJ 07730
Phone (732) 303-8787

15 S Main St
Marlboro, NJ 07746
Phone (732) 303-8787

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1124019930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461595",
            "telephone_number": "732-303-8787",
            "fax_number": "732-303-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461595",
            "telephone_number": "732-303-8787",
            "fax_number": "732-303-7870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Bethany Rd",
            "address_2": "Suite 11",
            "address_purpose": "LOCATION",
            "city": "Hazlet",
            "state": "NJ",
            "postal_code": "077301663",
            "country_code": "US",
            "telephone_number": "732-303-8787",
            "fax_number": "732-303-7870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "MICHAEL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MA64347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7008503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

Verify at the official NPI Registry.