Provider Demographics
NPI:1588819700
Name:FAY SHARIT
Entity Type:Organization
Organization Name:FAY SHARIT
Other - Org Name:DR. FAY SHARIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-646-9466
Mailing Address - Street 1:945 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5103
Mailing Address - Country:US
Mailing Address - Phone:201-646-9466
Mailing Address - Fax:201-646-9789
Practice Address - Street 1:945 MAIN ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5103
Practice Address - Country:US
Practice Address - Phone:201-646-9466
Practice Address - Fax:201-646-9789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD00130500332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ084800Medicaid
NJ447619Medicare PIN
5074000001Medicare NSC
NJT45059Medicare UPIN