Individual provider Active NPI

Gaurav S Sharma, MD

  • Surgery Physician
  • Moorestown, NJ
National Provider Identifier
1710276605
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA09881300 Issued in NJ
Practice address
401 Young Ave Ste 320
Moorestown, NJ 08057-3133
Phone
(856) 291-8920
NPI assigned
Mar 31, 2011
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA09881300 NJ Primary

Addresses

Primary practice location

401 Young Ave Ste 320
Moorestown, NJ 08057-3133

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

120 White Horse Pike Ste 103C
Haddon Hgts, NJ 08035-1938
Phone (856) 796-9200

Other identifiers 1

IdentifierTypeStateIssuer
0521035MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gsharma13542@directvirtua.org
Direct Messaging Address gsharma13542@directvirtua.org

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
I20160919002266 NJ Practitioner - General Surgery 9830486836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

120 White Horse Pike
Haddon Heights, NJ 08035-1938

175 Madison Ave
Mount Holly, NJ 08060-2038

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09881300NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Jul 16, 2016 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Current Accepting new patients
Virtua Medical Group, PA Surgery Current Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 7, 2017 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Jul 16, 2016 Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 7, 2017 Accepting new patients
Virtua - Memorial Hospital Burlington County, Inc. Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

120 White Horse Pike
Ste 103C
Haddon Hgts, NJ 08035
Phone (856) 546-3900

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

401 Young Ave
Ste 320
Moorestown, NJ 08057
Phone (856) 291-8920

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

Interoperability endpoints

  • Direct secure messaging: gsharma13542@directvirtua.org

Organizations & group practices 7

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 2

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": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1710276605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVE STE 320",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573133",
            "telephone_number": "856-291-8920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 White Horse Pike Ste 103C",
            "address_purpose": "LOCATION",
            "city": "Haddon Hgts",
            "state": "NJ",
            "postal_code": "080351938",
            "country_code": "US",
            "telephone_number": "856-796-9200",
            "fax_number": "856-310-0592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "GAURAV",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA09881300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0521035",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsharma13542@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 320",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsharma13542@directvirtua.org",
            "affiliation": "N",
            "address_1": "120 White Horse Pike Ste 103C",
            "city": "Haddon Hgts",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080351938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.