Prem Sharma M.D.P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0MA025152 Issued in NJ

Legal business name

PREM SHARMA M.D.P.A.

Practice address

220 Hamburg Turnpike
Suite 12
Wayne, NJ 07470-2132

Phone

(973) 790-8103

Fax

(073) 790-8097

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Prem Nath Sharma, M.D.

Title

President

Phone

(973) 790-8103

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1346598927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TURNPIKE",
            "address_2": "SUITE 12",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702132",
            "telephone_number": "973-790-8103",
            "fax_number": "073-790-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TURNPIKE",
            "address_2": "SUITE 12",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702132",
            "telephone_number": "973-790-8103",
            "fax_number": "073-790-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREM SHARMA M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "NATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-790-8103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "0MA025152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.