Provider Demographics
NPI:1508894874
Name:LI, SHARON MEI MEI (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:MEI MEI
Last Name:LI
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 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:908-273-4300
Mailing Address - Fax:
Practice Address - Street 1:1515 BROAD ST STE B120
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3059
Practice Address - Country:US
Practice Address - Phone:973-873-7000
Practice Address - Fax:973-743-8943
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07094700208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3S6732OtherEMPIRE BCBS (WAYNE)
NJZD0093OtherHEALTHNET
NJ398244OtherWELLCARE
NJ7616106OtherAETNA PPO#
NJ2068142000OtherAMERIHEALTH ID#
NJ3S6731OtherEMPIRE BCBS (CLIFTON)
NJ1099457OtherGHI PPO
NJ340019417OtherRAILROAD MEDICARE ID#
NJ2356164OtherAETNA HMO#
NJP2183798OtherOXFORD ID#
NJ398244OtherWELLCARE