Provider Demographics
NPI:1205560562
Name:SHARPE, ESNEY MAE (PHD)
Entity type:Individual
Prefix:DR
First Name:ESNEY
Middle Name:MAE
Last Name:SHARPE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 SOUTH HARRISON STREET
Mailing Address - Street 2:LEVEL ONE - RIGHT SIDE
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018
Mailing Address - Country:US
Mailing Address - Phone:862-600-1548
Mailing Address - Fax:973-280-2281
Practice Address - Street 1:220 SOUTH HARRISON STREET
Practice Address - Street 2:LEVEL ONE - RIGHT SIDE
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018
Practice Address - Country:US
Practice Address - Phone:973-766-1303
Practice Address - Fax:973-860-2281
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ222425578101YP1600X
NJ174H00000X, 374K00000X, 261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No174H00000XOther Service ProvidersHealth Educator
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner