Provider Demographics
NPI:1811023922
Name:REKHA SHARMA MD PA
Entity Type:Organization
Organization Name:REKHA SHARMA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REKHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-282-0474
Mailing Address - Street 1:4 RONS EDGE RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-2535
Mailing Address - Country:US
Mailing Address - Phone:973-376-0452
Mailing Address - Fax:973-376-0524
Practice Address - Street 1:701 NEWARK AVE
Practice Address - Street 2:SUITE LL4
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3550
Practice Address - Country:US
Practice Address - Phone:908-282-0474
Practice Address - Fax:908-282-0475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06959600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3587345OtherAETNA GROUP NUMBER
NJ36321OtherUNIVERSITY HEALTH PLAN
NJ2K8106OtherHEALTH NET
NJ1935268OtherUNITED HEALTH CARE
NJ716350OtherAETNA PROVIDER IDENTIFIER
NJ8342903Medicaid
NJ60009063OtherHORIZON NJ HEALTH
NJ86551OtherAMERIGROUP
NJP3473249OtherOXFORD HEALTH PLAN
NJ36321OtherUNIVERSITY HEALTH PLAN
NJ3587345OtherAETNA GROUP NUMBER
NJP3473249OtherOXFORD HEALTH PLAN