Mudassar Sharif, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07313100 Issued in NJ

Practice address

711 Kearny Ave
Kearny, NJ 07032-3003

Phone

(888) 412-6606

Fax

(888) 412-6606

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Agape Medical, P.C.

  • Health Service Clinic/Center
  • Bronx, NY
  • NPI 1316886013
  NPD Authorized official
• Essex Emergency Associates, P.a.

  • Emergency Medicine Physician
  • Newark, NJ
  • NPI 1083615090
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1366509903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323003",
            "telephone_number": "888-412-6606",
            "fax_number": "888-412-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323003",
            "telephone_number": "888-412-6606",
            "fax_number": "888-412-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIF",
        "first_name": "MUDASSAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07313100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8693102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Marie Sardo
• Julio Sarmiento, LSW
• Malwina Sarnas, PHARM.D.
• Serenity Acupuncture & Wellness Center LLC
• Khushboo Shah
• Shop Traynor Med LLC
• Sigmund NJ
• Barry C Silver, MD
• Alan Lane Silverstein, D.M.D.
• Emily Louise Silvestre, APN

• Internal Medicine Physician in Kearny, NJ
• Providers in Kearny, 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 Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.