Individual provider Active NPI

Harry Walton Sharp Jr., D.O.

  • Family Medicine Physician
  • Sicklerville, NJ
National Provider Identifier
1235231044
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB02886900 Issued in NJ
Practice address
524 Williamstown Rd Ste a
Sicklerville, NJ 08081-1800
Phone
(856) 728-1181
Fax
(856) 728-1182
NPI assigned
Sep 2, 2006
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB02886900 NJ Primary

Addresses

Primary practice location

524 Williamstown Rd Ste a
Sicklerville, NJ 08081-1800

Mailing address

1415 Marlton Pike E Ste LL5
Cherry Hill, NJ 08034-2229
Phone (856) 285-7200

Other identifiers 2

IdentifierTypeStateIssuer
381020OtherNJMEDICARE GROUP
0455091OtherNJMEDICAID GROUP

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
I20111021000292 NJ Practitioner - Family Practice 6709059595 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB02886900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consensus Medical Group LLC CurrentSince Apr 1, 2019 Accepting new patients
Marc Feingold MD LLC Family Medicine Current Accepting new patients
CMG Medical Group I LLC Family Medicine Past Accepting new patients

Locations

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

524 Williamstown Rd
Ste A
Sicklerville, NJ 08081
Phone (856) 728-1181

3 Brendenwood Dr
Voorhees, NJ 08043
Phone (856) 874-0202

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1235231044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MARLTON PIKE E STE LL5",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342229",
            "telephone_number": "856-285-7200",
            "fax_number": "856-285-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 WILLIAMSTOWN RD STE A",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811800",
            "telephone_number": "856-728-1181",
            "fax_number": "856-728-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "HARRY",
        "middle_name": "WALTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB02886900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "381020",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "0455091",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

Verify at the official NPI Registry.