New Life Surgical Associates PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME 104571 Issued in FL

Legal business name

NEW LIFE SURGICAL ASSOCIATES PLLC

Practice address

4253 Salisbury Rd
Jacksonville, FL 32216

Phone

(904) 399-4004

Fax

(904) 399-3489

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Sunil K Sharma, M.D.NPI 1790705416

Title

Owner/Physician

Phone

(904) 399-4004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Sunil K Sharma, M.D

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1790705416
  Medicare reassignment NPD Authorized official
• Ainsley Busha Freshour, M.D.

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1487711685
  Medicare reassignment NPD
• Amanda Lynn Kinney, RD

  • Registered Dietitian
  • Jacksonville, FL
  • NPI 1821359050
  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1811396161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4253 SALISBURY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-399-4004",
            "fax_number": "904-399-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 SALISBURY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-399-4004",
            "fax_number": "904-399-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE SURGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "904-399-4004",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 104571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New Path Psychology Educational and Psychological Services
• New Perspective Services, Inc
• New Perspective Therapy, LLC
• New Perspectives Therapeutic Services, LLC

• Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.