Active NPI
Rajinder Sharma, MD
- Surgery Physician
- Fairfield, NJ
National Provider Identifier
1356357438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA02804200
- Practice address
- 695 US Highway 46
Suite 400a
Fairfield, NJ 07004-1592 - Phone
- (973) 826-8080
- Fax
- (866) 309-3354
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA02804200 | NJ | Primary |
Addresses
Primary practice location
695 US Highway 46
Suite 400a
Fairfield, NJ 07004-1592
Mailing address
PO Box 4059
Wayne, NJ 07474-4059
Phone (973) 894-1263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209530101 | 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 |
|---|---|---|---|---|
| I20110426000034 | NJ | Practitioner - General Surgery | 9032394622 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02804200 | NJ | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482105600000",
"number": "1356357438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4059",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074744059",
"telephone_number": "973-894-1263",
"fax_number": "888-972-3703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 US HIGHWAY 46",
"address_2": "SUITE 400A",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070041592",
"telephone_number": "973-826-8080",
"fax_number": "866-309-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "RAJINDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2016-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA02804200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209530101",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.