Individual provider Active NPI

Sherry Lynn Pharo

  • Nurse Practitioner
  • Galloway, NJ
National Provider Identifier
1922647452
Registry record updated Jan 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00927500 Issued in NJ
Practice address
54 W Jimmie Leeds Rd
Galloway, NJ 08205-9438
Phone
(609) 404-0056
Fax
(609) 404-0506
NPI assigned
Jan 1, 2020
Last updated
Jan 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00927500 NJ Primary

Addresses

Primary practice location

54 W Jimmie Leeds Rd
Galloway, NJ 08205-9438

Mailing address

213 Country Club Blvd
Little Egg Harbor TWP, NJ 08087-1888
Phone (609) 618-8619

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
I20200506001090 NJ Practitioner - Nurse Practitioner 3971934043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

2500 English Creek Ave
BLDG 1200 2ND Floor Apg Surgical Specialtie
Egg Harbor Township, NJ 08234-5598
Phone (609) 833-9833

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00927500NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jul 31, 2022 Accepting new patients
Atlanticare Physician Group PA CurrentSince Jul 31, 2022 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Apr 21, 2020 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

2500 English Creek Ave
Ste 1200
Egg Harbor Twp, NJ 08234
Phone (609) 833-9833

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1922647452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 COUNTRY CLUB BLVD",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080871888",
            "telephone_number": "609-618-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059438",
            "telephone_number": "609-404-0056",
            "fax_number": "609-404-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARO",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00927500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.