Sharon M. Ceravolo, APN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NN06916000 Issued in NJ

Practice address

849 Cooper St
Deptford, NJ 08096-2571

Phone

(856) 848-6346

Fax

(856) 848-5734

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sharon M. McCarthy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1295778363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 COOPER ST",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080962571",
            "telephone_number": "856-848-6346",
            "fax_number": "856-848-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERAVOLO",
        "first_name": "SHARON",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN06916000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "MCCARTHY",
            "middle_name": "M.",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald Brown III
• Scott A Brown, D.C.
• Barbara Lynn Bucci, R.D.
• Francis N Campagna Jr.
• Rommel Pazziuagan Casibang, PT
• Jae Hoon Cha
• Anna N Champion, RPH
• Pil Jae Chang, PHARM D.
• Melinda Chanza-Soto
• Charles M. Cummins, OD, PA

• Pediatric Nurse Practitioner in Deptford, NJ
• Providers in Deptford, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.