Clark Sherer, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MA53108 Issued in NJ

Practice address

225 Williamson St
Elizabeth, NJ 07202-3625

Phone

(908) 325-6322

Fax

(908) 325-6343

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Infectious DiseaseAlso: Internal Medicine

Education

Albany Medical College of Union University, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union County Infectious Diseases GroupGroup PAC ID 5092902379, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clark.sherer.1@17699.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17699/brand/1/csg/1/fhir/r4

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.

• Union County Infectious Diseases Group

  • Infectious Disease Physician
  • Elizabeth, NJ
  • NPI 1235109158
  Medicare reassignment Care Compare group NPD

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

• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1134129802
  Care Compare affiliation
• Trinitas Regional Medical Center

  • Specialist
  • Elizabeth, NJ
  • NPI 1487697785

  Hospital

  Care Compare affiliation
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1770583999
  Care Compare affiliation
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1790785913
  Care Compare affiliation

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1629048541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WILLIAMSON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023625",
            "telephone_number": "908-325-6322",
            "fax_number": "908-325-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WILLIAMSON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023625",
            "telephone_number": "908-325-6322",
            "fax_number": "908-325-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERER",
        "first_name": "CLARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA53108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0969109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Mukta Sharma
• Rekha Sharma, M.D.
• Nardeen N Shehata, RPH
• Edward Shen, MD
• Jung San Shen, MD
• Anne Kate Sherman, LSW
• Young Kyu Shin
• Pranav Sanjay Shukla, MD
• Russ Honor Shulkes, LSW
• Siddhi Ganesha Inc

• Infectious Disease Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Infectious Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.