Kishwar Shareef MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07099200 Issued in NJ

Legal business name

KISHWAR SHAREEF MD PC

Practice address

447 Route 10 E
15
Randolph, NJ 07869-2132

Phone

(973) 442-3016

Fax

(973) 442-3017

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kishwar Shareef, M.D.NPI 1659348142

Title

President

Phone

(973) 442-3016

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/f16ab50d-5d7f-40fe-8c31-87d7133c9e42/

Practitioners 1

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

• Kishwar Shareef, M.D.

  • Internal Medicine Physician
  • Randolph, NJ
  • NPI 1659348142
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1487834743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EDGEFIELD DR",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501973",
            "telephone_number": "973-442-3016",
            "fax_number": "973-442-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 ROUTE 10 E",
            "address_2": "15",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692132",
            "telephone_number": "973-442-3016",
            "fax_number": "973-442-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHWAR SHAREEF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "SHAREEF",
        "authorized_official_first_name": "KISHWAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-442-3016",
        "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": "25MA07099200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056561",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Kim, DO
• Joseph Kim, M.D.
• Minju Kim
• Young Kyu Kim, D.D.S
• Mindy Strauss Kirschner, MA,CCC/SLP
• Brian Jeffrey Klein, D.M.D
• Carrie Ann Knowlton, PT, DPT
• Koala Pediatrics
• Paul Kochoa, P.T., D.P.T.
• Stacie Koenigsberg, MS, CCC-SLP

• Internal Medicine Physician in Randolph, NJ
• Providers in Randolph, 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 Jul 6, 2010; 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.