Active NPI
My MD Group LLC
- Internal Medicine Physician
- Jackson, NJ
National Provider Identifier
1811121916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA07276900
- Legal business name
- MY MD GROUP LLC
- Practice address
- 19 N County Line Rd
Jackson, NJ 08527-1255 - Phone
- (732) 901-8880
- Fax
- (732) 901-0882
- NPI assigned
- May 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nivedita Sharma, M.D.
- Title
- Medical Doctor
- Phone
- (732) 901-8880
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA07276900 | NJ | Primary |
Addresses
Primary practice location
19 N County Line Rd
Jackson, NJ 08527-1255
Mailing address
PO Box 172
Manalapan, NJ 07726-0172
Phone (732) 901-8880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 N County Line Rd
Jackson, NJ 08527
Phone (732) 901-8880
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AIFBAA
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Jackson, NJ
- NPI 1932134855
-
- Internal Medicine Physician
- Jackson, NJ
- NPI 1962677583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298592000000",
"number": "1811121916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 172",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077260172",
"telephone_number": "732-901-8880",
"fax_number": "732-901-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 N COUNTY LINE RD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085271255",
"telephone_number": "732-901-8880",
"fax_number": "732-901-0882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY MD GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-05",
"last_updated": "2011-02-25",
"status": "A",
"authorized_official_last_name": "SHARMA",
"authorized_official_first_name": "NIVEDITA",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "732-901-8880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA07276900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.