Individual provider Active NPI

Manju Sharma, APN

  • Family Nurse Practitioner
  • Edison, NJ
National Provider Identifier
1801629852
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15122100 Issued in NJ
Practice address
15 Main St
Edison, NJ 08837-3447
Phone
(908) 755-1165
NPI assigned
Aug 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15122100 NJ Primary

Addresses

Primary practice location

15 Main St
Edison, NJ 08837-3447

Mailing address

15 Main St # 1
Edison, NJ 08837-3447
Phone (908) 755-1165

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021000306 NJ Practitioner - Nurse Practitioner 8123550738 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15122100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC CurrentSince Oct 1, 2024 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

15 Main St
Ste 101
Edison, NJ 08837

15 Main St
#1
Edison, NJ 08837

15 Main St
Edison, NJ 08837
Phone (732) 906-8866

15 Main St
Ste 1
Edison, NJ 08837
Phone (732) 734-6563

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

500 Frank W Burr Blvd
Ste 560
Teaneck, NJ 07666

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": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1801629852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAIN ST # 1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373447",
            "telephone_number": "908-755-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAIN ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373447",
            "telephone_number": "908-755-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "MANJU",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15122100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.