Individual provider Active NPI

Sheeren Sharon Maloney, DDS, MS

  • Periodontics
  • Summit, NJ
National Provider Identifier
1346405594
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22DI02455400 Issued in NJ
Practice address
137 Summit Ave
Ste 4
Summit, NJ 07901-2800
Phone
(908) 277-2224
Fax
(908) 277-1272
NPI assigned
Jul 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 22DI02455400 NJ Primary

Addresses

Primary practice location

137 Summit Ave
Ste 4
Summit, NJ 07901-2800

Mailing address

137 Summit Ave
Ste 4
Summit, NJ 07901-2800
Phone (908) 277-2224

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151123001314 NJ Order and Referring Only - DentistPractitioner - Dentist 0042510109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1217030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1346405594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 SUMMIT AVE",
            "address_2": "STE 4",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012800",
            "telephone_number": "908-277-2224",
            "fax_number": "908-277-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 SUMMIT AVE",
            "address_2": "STE 4",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012800",
            "telephone_number": "908-277-2224",
            "fax_number": "908-277-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "SHEEREN",
        "middle_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-26",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02455400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.