Active NPI
Michael Bruce Sherman, M.D.
- Allergy & Immunology Physician
- Marlboro, NJ
National Provider Identifier
1124019930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MA64347
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7008503 | Medicaid | NJ |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA64347 | NJ | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Center, P.C. | Allergy & Immunology | Current | 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
- 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.
-
- Allergy & Immunology Physician
- Marlboro, NJ
- NPI 1104036789
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
Allergy & Immunology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.