Provider Demographics
NPI:1346270253
Name:JOAG, SHARON S (DPM)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:S
Last Name:JOAG
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:SHARON
Other - Middle Name:S
Other - Last Name:JOAG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:6 STONEHEDGE DR
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-2825
Mailing Address - Country:US
Mailing Address - Phone:646-331-0146
Mailing Address - Fax:
Practice Address - Street 1:6 STONEHEDGE DR
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2825
Practice Address - Country:US
Practice Address - Phone:646-331-0146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00283600213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
V07318Medicare UPIN
NJ6231250001Medicare NSC
095528Medicare ID - Type Unspecified