Provider Demographics
NPI:1861439481
Name:SCHARF, RICHARD C (DO)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:C
Last Name:SCHARF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-1918
Mailing Address - Country:US
Mailing Address - Phone:908-241-0200
Mailing Address - Fax:908-241-1665
Practice Address - Street 1:505 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-1918
Practice Address - Country:US
Practice Address - Phone:908-241-0200
Practice Address - Fax:908-241-1615
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB05069700207Y00000X, 207YX0007X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0455749004OtherCIGNA
NJ4256093OtherAETNA
E94530Medicare UPIN
NJ4256093OtherAETNA