Provider Demographics
NPI:1861653826
Name:SHARMA, ADITY (MD)
Entity Type:Individual
Prefix:DR
First Name:ADITY
Middle Name:
Last Name:SHARMA
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 1:3 CORNWALL DR
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3311
Mailing Address - Country:US
Mailing Address - Phone:732-698-1000
Mailing Address - Fax:732-698-1008
Practice Address - Street 1:3 CORNWALL DR
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3311
Practice Address - Country:US
Practice Address - Phone:732-698-1000
Practice Address - Fax:732-698-1008
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09409400207R00000X, 207RH0003X
DCMD036145207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1861653826OtherNPI
NJ25MA09409400OtherLICENSE
NJFS4464258OtherDEA
091412OtherMEDICARE GROUP NUMBER PTAN - KENT
165145OtherGROUP NUMBER PTAN - MILFORD
DEC1-0008940OtherSTATE OF DELAWARE MEDICAL LICENSE
DEDR-0006781OtherSTATE OF DELAWARE NARCOTIC CERTIFICATE