Organization Active NPI

PK Sharma

  • Plastic Surgery Physician
  • Tenafly, NJ
National Provider Identifier
1184898074
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MA41189 Issued in NJ
Legal business name
PK SHARMA
Practice address
2 Dean Dr Ste 3N
Tenafly, NJ 07670-2765
Phone
(201) 567-4477
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Dr. Parmod Sharma, MD
Title
Doctor
Phone
(201) 567-4477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MA41189 NJ Primary

Addresses

Primary practice location

2 Dean Dr Ste 3N
Tenafly, NJ 07670-2765

Mailing address

2 Dean Dr Ste 3N
Tenafly, NJ 07670-2765

Other identifiers 5

IdentifierTypeStateIssuer
900000276901OtherNJAMERICHOICE
18F46OtherNJBS EMPIRE
1799908MedicaidNJ
0004531299OtherNJAETNA
P2043370OtherNJOXFORD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1184898074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEAN DR STE 3N",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEAN DR STE 3N",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702765",
            "telephone_number": "201-567-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PK SHARMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "PARMOD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-567-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "MA41189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "900000276901",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS EMPIRE",
            "identifier": "18F46",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1799908",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004531299",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2043370",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.