Active NPI
Ravinder Sharma, MD
- Cardiovascular Disease Physician
- Somerset, NJ
National Provider Identifier
1306947999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA05732100
- Practice address
- 21 Clyde Rd Ste 102
Somerset, NJ 08873-5043 - Phone
- (732) 745-1100
- Fax
- (732) 369-9057
- NPI assigned
- Sep 26, 2006
- Last updated
- Apr 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA05732100 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | 25MA05732100 | NJ | Primary |
Addresses
Primary practice location
21 Clyde Rd Ste 102
Somerset, NJ 08873-5043
Mailing address
21 Clyde Rd Ste 102
Somerset, NJ 08873-5043
Phone (732) 745-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0041408 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100309000148 | NJ | Practitioner - Cardiovascular Disease (Cardiology) | 8123163607 | Practice locations: Somerset, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05732100 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ravinder Sharma, MD | Internal Medicine | Past | Accepting new patients |
| Community Hospital Group, Inc | Past | Accepting new patients | |
| Medical Associates of Central Jersey,PA | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- New Brunswick, NJ
- NPI 1194105742
Internal Medicine
-
- Medical Specialty Clinic/Center
- Somerset, NJ
- NPI 1972653624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1306947999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CLYDE RD STE 102",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088735043",
"telephone_number": "732-745-1100",
"fax_number": "732-369-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CLYDE RD STE 102",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088735043",
"telephone_number": "732-745-1100",
"fax_number": "732-369-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "RAVINDER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA05732100",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA05732100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0041408",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.