Provider Demographics
NPI:1447251616
Name:SHARMA, REKHA (MD)
Entity type:Individual
Prefix:DR
First Name:REKHA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 RONS EDGE RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-2535
Mailing Address - Country:US
Mailing Address - Phone:973-376-0452
Mailing Address - Fax:973-376-0524
Practice Address - Street 1:701 NEWARK AVE
Practice Address - Street 2:SUITE # LL4
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3550
Practice Address - Country:US
Practice Address - Phone:908-282-0474
Practice Address - Fax:908-282-0475
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06959600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1619148160OtherNEWARK COMMUNITY MEDICAL CENTER - SITE: 516 BERGAN STREET NEWARK NJ 07018
NJ1935268OtherUNITED HEALTH CARE
P3473249OtherOXFORD
NJ2K8106OtherHEALTH NET
NJ36321OtherUNIVERSITY HEALTH PLAN
NJ716350OtherAETNA
NJ201184580OtherQUAL CARE
NJ8342903Medicaid
NJ86551OtherAMERIGROUP
NJ222747589OtherNEWARK COMMUNITY MEDICAL CENTER - EIN
NJ201184580OtherQUAL CARE
NJH02550Medicare UPIN
NJ082642Medicare ID - Type UnspecifiedGROUP NUMBER