Individual provider Active NPI

Sharadha Polam, MD

  • Neonatal-Perinatal Medicine Physician
  • Hamilton, NJ
National Provider Identifier
1780786434
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
25MA06946400 Issued in NJ
Practice address
1 Hamilton Health PL
Hamilton, NJ 08690-3542
Phone
(609) 584-6762
Fax
(856) 782-2218
NPI assigned
Sep 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
Neonatal-Perinatal Medicine Physician 2080N0001X 25MA06946400 NJ Primary

Addresses

Primary practice location

1 Hamilton Health PL
Hamilton, NJ 08690-3542

Mailing address

1000 Haddonfield Berlin Rd
Suite 210
Voorhees, NJ 08043-3520
Phone (856) 782-2212

Other identifiers 1

IdentifierTypeStateIssuer
0024953MedicaidNJ

Other names 1

  • Ms. Sharadha Kola Former name

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
I20200702000494 NJ Practitioner - Pediatric Medicine 3678820826 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06946400NJMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care Associates of New Jersey PC Current Accepting new patients
Childens Health Care Associates of New Jersey PC CurrentSince Jul 1, 2020 Accepting new patients
Children's Healthcare Associates of New Jersey PC CurrentSince Jul 1, 2020 Accepting new patients
St Mary Medical Center Past Accepting new patients

Locations

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Interoperability endpoints

  • Direct secure messaging: spolam2018055@direct.trinity-health.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780786434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HADDONFIELD BERLIN RD",
            "address_2": "SUITE 210",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433520",
            "telephone_number": "856-782-2212",
            "fax_number": "856-782-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMILTON HEALTH PL",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903542",
            "telephone_number": "609-584-6762",
            "fax_number": "856-782-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAM",
        "first_name": "SHARADHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NJ",
            "license": "25MA06946400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024953",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARADHA",
            "last_name": "KOLA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.