Individual provider Active NPI

Sanjiv K Sharma, M.D.

  • Internal Medicine Physician
  • Toms River, NJ
National Provider Identifier
1285607739
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06957200 Issued in NJ
Practice address
9 Mule Rd
Suite E-8
Toms River, NJ 08755-5043
Phone
(732) 341-6070
Fax
(732) 341-6077
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06957200 NJ Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA69572 NJ

Addresses

Primary practice location

9 Mule Rd
Suite E-8
Toms River, NJ 08755-5043

Mailing address

9 Mule Rd
Suite E-8
Toms River, NJ 08755-5043
Phone (732) 341-6070

Other identifiers 6

IdentifierTypeStateIssuer
223755177OtherNJTAX ID
2376287OtherNJAETNA
8430501MedicaidNJ
110213348OtherNJPALMETTO GBA/RR MEDICARE
P2187617OtherNJOXFORD
111281OtherNJMEDICARE ID

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
I20070611000671 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1052419272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 Mule Rd
Suite 15
Toms River, NJ 08755-5053
Phone (732) 341-6070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06957200NJMDInternal Medicine Physician
25MA69572NJMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Medical Center LLC Internal Medicine CurrentSince Aug 25, 1999 Accepting new patients
Elite Medical Care LLC Internal Medicine Past Accepting new patients
Elite Medical Care LLC Internal Medicine PastSince Jun 20, 2012 Accepting new patients

Locations

318 Professional View Dr
Freehold, NJ 07728
Phone (732) 341-9500

9 Mule Rd
Ste 15
Toms River, NJ 08755

9 Mule Rd
Ste E8
Toms River, NJ 08755
Phone (732) 341-6070

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1285607739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MULE RD",
            "address_2": "SUITE E-8",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555043",
            "telephone_number": "732-341-6070",
            "fax_number": "732-341-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MULE RD",
            "address_2": "SUITE E-8",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555043",
            "telephone_number": "732-341-6070",
            "fax_number": "732-341-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SANJIV",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06957200",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA69572",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223755177",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2376287",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8430501",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA/RR MEDICARE",
            "identifier": "110213348",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2187617",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "111281",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.