Mark Sherman MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA03595800 Issued in NJ

Legal business name

MARK SHERMAN MD PA

Practice address

85 Chestnut Ridge Rd
Montvale, NJ 07645-1827

Phone

(201) 444-1775

Fax

(201) 930-8509

NPI assigned

Nov 1, 2010

Organization subpart

No

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

Authorized official

Name

Mark D Sherman, M.D.

Title

Owner

Phone

(201) 444-1775

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1609176072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CHESTNUT RIDGE RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451827",
            "telephone_number": "201-444-1775",
            "fax_number": "201-930-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CHESTNUT RIDGE RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451827",
            "telephone_number": "201-444-1775",
            "fax_number": "201-930-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SHERMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-444-1775",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA03595800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3012107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Maggio Jr., MA, LCADC, LAC
• Mark S Mandel, MD
• Rosita Kamille Manohar, AGNP
• Cheryl M Marcus-Podhaizer, DDS
• Richard A. Marini, R.PH.
• Katrina Elizabeth Martinez
• Samantha Lynn Mastrocola, PA
• Rosa Mastrogiacomo, LMSW
• Reena Varghese Mathen, APN
• Michelle S Mayer, MD

• Surgery Physician in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.