Organization Active NPI

Indu Sharma MD PA

  • Nephrology Physician
  • Neptune, NJ
National Provider Identifier
1487824538
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA06204500 Issued in NJ
Legal business name
INDU SHARMA MD PA
Practice address
1915 6TH Ave
Neptune, NJ 07753-4835
Phone
(732) 774-5700
Fax
(732) 774-7929
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. Indu Sharma, MDNPI 1982692265
Title
President
Phone
(732) 774-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X MA06204500 NJ Primary

Addresses

Primary practice location

1915 6TH Ave
Neptune, NJ 07753-4835

Mailing address

1915 6TH Ave
Neptune, NJ 07753-4835
Phone (732) 774-5700

Other identifiers 1

IdentifierTypeStateIssuer
7218800MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080627000354 NJ Part B Supplier - Clinic/Group Practice 2668544164 Receives reassigned benefits from 2 practitioners
Practice locations: Neptune, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0955637Indu Sharma MD1915 6TH Avenue, Neptune, NJ 07753Provider-performed microscopyJul 18, 2028

National Provider Directory

National Provider Directory

Locations

1915 6th Ave
Neptune, NJ 07753
Phone (732) 774-5700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1487824538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 6TH AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534835",
            "telephone_number": "732-774-5700",
            "fax_number": "732-774-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 6TH AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534835",
            "telephone_number": "732-774-5700",
            "fax_number": "732-774-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDU SHARMA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "INDU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-774-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA06204500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7218800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.