Individual provider Active NPI

Sharad Sahu, M.D.

  • Internal Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1164449724
Registry record updated May 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07619200 Issued in NJ
Practice address
211 Essex St Ste 303
Hackensack, NJ 07601-3246
Phone
(201) 820-3372
Fax
(201) 820-3374
NPI assigned
Jul 17, 2006
Last updated
May 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07619200 NJ Primary

Addresses

Primary practice location

211 Essex St Ste 303
Hackensack, NJ 07601-3246

Mailing address

211 Essex St Ste 303
Hackensack, NJ 07601-3246
Phone (201) 820-3372

Other identifiers 1

IdentifierTypeStateIssuer
0005720MedicaidNJ

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
I20040616001435 NJ Practitioner - Internal Medicine 8921082934 Practice locations: Hackensack, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 Essex St
Suite 303
Hackensack, NJ 07601-3231
Phone (201) 820-3372

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07619200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anand Sahu MD PA Past Accepting new patients

Organizations & group practices 1

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

Hospital & facility affiliations 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621123200000",
    "number": "1164449724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST STE 303",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013246",
            "telephone_number": "201-820-3372",
            "fax_number": "201-820-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST STE 303",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013246",
            "telephone_number": "201-820-3372",
            "fax_number": "201-820-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHU",
        "first_name": "SHARAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07619200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005720",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.