NPIMap

Individual provider Active NPI

Mayuri Vijay-Sharma, MD

  • Nephrology Physician
  • West Orange, NJ
National Provider Identifier
1326236308
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA08277600 Issued in NJ
Practice address
111 Northfield Ave
Suite 311
West Orange, NJ 07052-4795
Phone
(973) 325-2103
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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 25MA08277600 NJ
Nephrology Physician 207RN0300X 25MA08277600 NJ Primary

Addresses

Primary practice location

111 Northfield Ave
Suite 311
West Orange, NJ 07052-4795

Mailing address

111 Northfield Ave
Suite 311
West Orange, NJ 07052-4795
Phone (973) 325-2103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110630000305 NJ Practitioner - NephrologyPractitioner - Internal Medicine 3779761374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nephrology Group PAGroup PAC ID 9133220825, 6 clinicians

Practice addresses (Care Compare)

111 Northfield Ave
Suite 311
West Orange, NJ 07052-4703
Phone (973) 325-2103

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital Opco LLC Current Accepting new patients
The Nephrology Group PA Nephrology CurrentSince Jul 11, 2011 Accepting new patients
3 Dimension Diagnostic Solutions Past Accepting new patients

Locations

142 Palisade Ave
Ste 210
Jersey City, NJ 07306
Phone (201) 659-0850

111 Northfield Ave
Ste 311
West Orange, NJ 07052
Phone (201) 325-2103

Interoperability endpoints

  • Direct secure messaging: mayuri.vijaysharma@direct.christhospital.md
  • Direct secure messaging: mayuri.vijay.sharma.1@9736.direct.athenahealth.com

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 10

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1326236308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NORTHFIELD AVE",
            "address_2": "SUITE 311",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524795",
            "telephone_number": "973-325-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTHFIELD AVE",
            "address_2": "SUITE 311",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524795",
            "telephone_number": "973-325-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAY-SHARMA",
        "first_name": "MAYURI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08277600",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA08277600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.