Organization Active NPI

Rekha Sharma MD PA

  • Internal Medicine Physician
  • Elizabeth, NJ
National Provider Identifier
1811023922
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06959600 Issued in NJ
Legal business name
REKHA SHARMA MD PA
Practice address
701 Newark Ave
Suite LL4
Elizabeth, NJ 07208-3550
Phone
(908) 282-0474
Fax
(908) 282-0475
NPI assigned
Feb 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rekha Sharma, MDNPI 1447251616
Title
President
Phone
(908) 282-0474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA06959600 NJ Primary

Addresses

Primary practice location

701 Newark Ave
Suite LL4
Elizabeth, NJ 07208-3550

Mailing address

4 Rons Edge Rd
Springfield, NJ 07081-2535
Phone (973) 376-0452

Other identifiers 9

IdentifierTypeStateIssuer
3587345OtherNJAETNA GROUP NUMBER
36321OtherNJUNIVERSITY HEALTH PLAN
2K8106OtherNJHEALTH NET
1935268OtherNJUNITED HEALTH CARE
716350OtherNJAETNA PROVIDER IDENTIFIER
8342903MedicaidNJ
60009063OtherNJHORIZON NJ HEALTH
86551OtherNJAMERIGROUP
P3473249OtherNJOXFORD HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040913000345 NJ Part B Supplier - Clinic/Group Practice 5890762629 Receives reassigned benefits from 1 practitioner
Practice locations: Elizabeth, NJ

National Provider Directory

National Provider Directory

Locations

701 Newark Ave
Ste LL4
Elizabeth, NJ 07208
Phone (908) 282-0474

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811023922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RONS EDGE RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812535",
            "telephone_number": "973-376-0452",
            "fax_number": "973-376-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NEWARK AVE",
            "address_2": "SUITE LL4",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083550",
            "telephone_number": "908-282-0474",
            "fax_number": "908-282-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REKHA SHARMA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "REKHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-282-0474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06959600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP NUMBER",
            "identifier": "3587345",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "36321",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K8106",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1935268",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER IDENTIFIER",
            "identifier": "716350",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8342903",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60009063",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "86551",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P3473249",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.