Individual provider Active NPI

David J Sharon, MD

  • Hematology & Oncology Physician
  • West Long Branch, NJ
National Provider Identifier
1730299041
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA04046800 Issued in NJ
Practice address
100 State Route 36
Suite 1B
West Long Branch, NJ 07764-1462
Phone
(732) 222-1711
Fax
(732) 222-2060
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA04046800 NJ Primary

Addresses

Primary practice location

100 State Route 36
Suite 1B
West Long Branch, NJ 07764-1462

Mailing address

100 State Route 36
Suite 1B
West Long Branch, NJ 07764-1462
Phone (732) 222-1711

Other identifiers 1

IdentifierTypeStateIssuer
0389803MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007001135 NJ Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 4981896008 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04046800NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Jan 1, 2014 Accepting new patients
Regional Cancer Care Associates LLC Hematology & Oncology PastSince Nov 7, 2012 Accepting new patients

Locations

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

100 State Route 36
Ste 1B
West Long Branch, NJ 07764
Phone (732) 222-1711

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730299041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STATE ROUTE 36",
            "address_2": "SUITE 1B",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641462",
            "telephone_number": "732-222-1711",
            "fax_number": "732-222-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STATE ROUTE 36",
            "address_2": "SUITE 1B",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641462",
            "telephone_number": "732-222-1711",
            "fax_number": "732-222-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARON",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA04046800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0389803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.