Individual provider Active NPI

Shelly Sharma, M.D.

  • Interventional Pain Medicine Physician
  • Aberdeen, NJ
National Provider Identifier
1538465760
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA09697800 Issued in NJ
Practice address
1340 Hwy 34
Aberdeen, NJ 07747-1947
Phone
(201) 729-0001
Fax
(201) 729-0006
NPI assigned
Feb 5, 2011
Last updated
Aug 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA09697800 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA09697800 NJ
Interventional Pain Medicine Physician 208VP0014X 25MA09697800 NJ Primary

Addresses

Primary practice location

1340 Hwy 34
Aberdeen, NJ 07747-1947

Mailing address

PO Box 1218
Fort Lee, NJ 07024-1218
Phone (201) 729-0001

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103003137 NJ Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6709001464 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Core Medical Group, LLCGroup PAC ID 7214279439, 4 clinicians

Practice addresses (Care Compare)

256 Stuyvesant Ave
Lyndhurst, NJ 07071-1833

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Core Medical Group, LLC Interventional Pain Medicine CurrentSince Apr 5, 2019 Accepting new patients
Metropolitan Pain Consultants, LLC Interventional Pain Medicine CurrentSince Sep 16, 2015 Accepting new patients

Locations

256 Stuyvesant Ave
Lyndhurst, NJ 07071
Phone (201) 729-0001

256 Stuyvesant Ave
Ste B
Lyndhurst, NJ 07071
Phone (201) 613-6121

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1538465760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1218",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070241218",
            "telephone_number": "201-729-0001",
            "fax_number": "201-729-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 HWY 34",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077471947",
            "telephone_number": "201-729-0001",
            "fax_number": "201-729-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SHELLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-05",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA09697800",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA09697800",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA09697800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NJ

Sources for this page

Verify at the official NPI Registry.