Individual provider Active NPI

Manju Sharma, MS,PA-C

  • Medical Physician Assistant
  • Hamilton, NJ
National Provider Identifier
1487804605
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00168800 Issued in NJ
Practice address
1225 Whitehorse Mercerville Rd
Lifecare Physicians, PC, Building D, Suite 203
Hamilton, NJ 08619-3882
Phone
(908) 359-3348
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00168800 NJ Primary

Addresses

Primary practice location

1225 Whitehorse Mercerville Rd
Lifecare Physicians, PC, Building D, Suite 203
Hamilton, NJ 08619-3882

Mailing address

1225 Whitehorse Mercerville Rd
Lifecare Physicians, PC, Building D, Suite 203
Hamilton, NJ 08619-3882
Phone (908) 359-3348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00168800NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys General Medical Group PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1487804605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WHITEHORSE MERCERVILLE RD",
            "address_2": "LIFECARE PHYSICIANS, PC, BUILDING D, SUITE 203",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193882",
            "telephone_number": "908-359-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WHITEHORSE MERCERVILLE RD",
            "address_2": "LIFECARE PHYSICIANS, PC, BUILDING D, SUITE 203",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193882",
            "telephone_number": "908-359-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "MANJU",
        "credential": "MS,PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00168800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.