Provider Demographics
NPI:1255699542
Name:SAVOY, SHARMEZ GRESSHEL (PA-C)
Entity type:Individual
Prefix:MR
First Name:SHARMEZ
Middle Name:GRESSHEL
Last Name:SAVOY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MULBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3715
Mailing Address - Country:US
Mailing Address - Phone:951-722-2365
Mailing Address - Fax:
Practice Address - Street 1:1200 ROUTE 22 STE 14
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2943
Practice Address - Country:US
Practice Address - Phone:973-376-6595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-25
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00603900207X00000X
NY016892-01207X00000X
CAPA22064363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical