Organization Active NPI

Surendra M. Sharma M.D.

  • Cardiovascular Disease Physician
  • Passaic, NJ
National Provider Identifier
1790992386
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA03585900 Issued in NJ
Legal business name
SURENDRA M. SHARMA M.D.
Practice address
293 Passaic St
Passaic, NJ 07055-5803
Phone
(973) 365-1377
Fax
(973) 365-1229
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Surendra M. Sharma, M.D.
Title
Owner
Phone
(973) 365-1377

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA03585900 NJ
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 25MA03585900 NJ Primary

Addresses

Primary practice location

293 Passaic St
Passaic, NJ 07055-5803

Mailing address

293 Passaic St
Passaic, NJ 07055-5803
Phone (973) 365-1377

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1790992386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555803",
            "telephone_number": "973-365-1377",
            "fax_number": "973-365-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555803",
            "telephone_number": "973-365-1377",
            "fax_number": "973-365-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURENDRA M. SHARMA M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SURENDRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-365-1377",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03585900",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA03585900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.