1992801237 NPI number — DR. MEENA SHARMA MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992801237 NPI number — DR. MEENA SHARMA MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

SHARMA

Provider First Name:

MEENA

Provider Middle Name:

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1992801237

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

08/30/2019

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

1 FEDERAL ST # 200

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

CAMDEN

Provider Business Mailing Address State Name:

NJ

Provider Business Mailing Address Postal Code:

08103-1088

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

856-356-4924

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

1 COOPER PLAZA

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

CAMDEN

Provider Business Practice Location Address State Name:

NJ

Provider Business Practice Location Address Postal Code:

08103-1438

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

856-342-3150

Provider Business Practice Location Address Fax Number:

856-968-8418

Provider Enumeration Date:

09/15/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207R00000X , with the licence number:  MD-072465-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207R00000X , with the licence number: MA70229 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 010005600 . This is a "AMERICHOICE" identifier . This identifiers is of the category "OTHER".
• Identifier: 34732 . This is a "UNIVERSITY HEALTHPLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 010004401 . This is a "AMERICHOICE" identifier . This identifiers is of the category "OTHER".
• Identifier: 3332068 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 3629432 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 8938806 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
• Identifier: 1166304 . This is a "HORIZON NJ HEALTH" identifier . This identifiers is of the category "OTHER".
• Identifier: P2696655 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
• Identifier: 2110237 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 3K6218 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
• Identifier: 1432659 . This is a "PENNSYLVANIA BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
• Identifier: 2297447 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 2117365000 . This is a "AMERIHEALTH" identifier . This identifiers is of the category "OTHER".
• Identifier: 110244312 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".