Provider Demographics
NPI:1659438992
Name:SHERMAN, RIMMA (MD)
Entity Type:Individual
Prefix:
First Name:RIMMA
Middle Name:
Last Name:SHERMAN
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 1:315 E NORTHFIELD RD
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4896
Mailing Address - Country:US
Mailing Address - Phone:973-597-1197
Mailing Address - Fax:973-597-1157
Practice Address - Street 1:315 E NORTHFIELD RD
Practice Address - Street 2:SUITE 1E
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4896
Practice Address - Country:US
Practice Address - Phone:973-597-1197
Practice Address - Fax:973-597-1157
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJMA70109207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8758603Medicaid
NJ052625Medicare PIN
NJG82391Medicare UPIN