Active NPI
Pradhan Sharma
- Physician Assistant
- Plymouth Meeting, PA
National Provider Identifier
1770033714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OA004545
- Practice address
- 2901 Jolly Rd
Plymouth Meeting, PA 19462-2324 - Phone
- (610) 272-8221
- Fax
- (610) 272-5655
- NPI assigned
- Oct 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA004545 | PA | Primary |
Addresses
Primary practice location
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Mailing address
2 Elwell Ave
Budd Lake, NJ 07828-2803
Phone (973) 886-4523
Other practice location 1
2 Elwell Ave
Budd Lake, NJ 07828-2803
Phone (973) 886-4523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103529559 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221
325 Chestnut St
Suite 800
Philadelphia, PA 19106-2608
Phone (973) 241-1356
Hospital & facility affiliations
- Mercy Home Health
- Sigma Home Healthcare, Inc.
- Residential Home Health of Carlisle LLC
- Jefferson Health at Home by Bayada
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA004545 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC NJ II PC | Current | Accepting new patients | |
| Violet Valley Long Term Care PC | Current | Accepting new patients | |
| Ennoble HC NJ III PC | Current | Accepting new patients |
Locations
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
101 Greenwood Ave
Ste 140
Jenkintown, PA 19046
Phone (973) 241-1356
325 Chestnut St
Ste 800
Philadelphia, PA 19106
Phone 9732411356 ext. 11356
2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Plymouth Meeting, PA
- NPI 1073273363
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth Meeting, PA
- NPI 1649164617
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1043192099
PA
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth Meeting, PA
- NPI 1679594808
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Philadelphia, PA
- NPI 1700533049
-
- Home Health Agency
- Newtown, PA
- NPI 1467412296
-
- Home Health Agency
- Havertown, PA
- NPI 1174472427
-
- Home Health Agency
- Philadelphia, PA
- NPI 1144827429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1770033714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ELWELL AVE",
"city": "BUDD LAKE",
"state": "NJ",
"postal_code": "078282803",
"telephone_number": "973-886-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 JOLLY RD",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622324",
"telephone_number": "610-272-8221",
"fax_number": "610-272-5655"
}
],
"practiceLocations": [
{
"address_1": "2 Elwell Ave",
"address_purpose": "LOCATION",
"city": "Budd Lake",
"state": "NJ",
"postal_code": "078282803",
"country_code": "US",
"telephone_number": "973-886-4523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARMA",
"first_name": "PRADHAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-13",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA004545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103529559",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.