Provider Demographics
NPI:1225099500
Name:MONTER, SHARON I (DPM)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:I
Last Name:MONTER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 UNION AVE
Mailing Address - Street 2:STE 1
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-3647
Mailing Address - Country:US
Mailing Address - Phone:732-295-1211
Mailing Address - Fax:732-295-7911
Practice Address - Street 1:28 UNION AVE
Practice Address - Street 2:STE 1
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-3647
Practice Address - Country:US
Practice Address - Phone:732-295-1211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD0266100213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ051926WCRMedicare PIN
NJU87393Medicare UPIN