Active NPI
Iradj Sharim, M.D.
- Internal Medicine Physician
- Trenton, NJ
National Provider Identifier
1790739423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA32633
- Practice address
- 40 Fuld St
Suite 402
Trenton, NJ 08638-5247 - Phone
- (609) 393-4911
- Fax
- (609) 394-6770
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA32633 | NJ | Primary |
Addresses
Primary practice location
40 Fuld St
Suite 402
Trenton, NJ 08638-5247
Mailing address
40 Fuld St
Suite 402
Trenton, NJ 08638-5247
Phone (609) 393-4911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2958406 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA32633 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Health Medical Group | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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
- Trenton, NJ
- NPI 1437516887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281657600000",
"number": "1790739423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 FULD ST",
"address_2": "SUITE 402",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086385247",
"telephone_number": "609-393-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 FULD ST",
"address_2": "SUITE 402",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086385247",
"telephone_number": "609-393-4911",
"fax_number": "609-394-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARIM",
"first_name": "IRADJ",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2010-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA32633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2958406",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.