Provider Demographics
NPI:1265432744
Name:SCHARFER, PHILIP JAY (MD PA)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:JAY
Last Name:SCHARFER
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 PGA BLVD
Mailing Address - Street 2:STE 244
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3590
Mailing Address - Country:US
Mailing Address - Phone:561-622-6788
Mailing Address - Fax:561-627-4265
Practice Address - Street 1:2401 PGA BLVD
Practice Address - Street 2:STE 244
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3590
Practice Address - Country:US
Practice Address - Phone:561-622-6788
Practice Address - Fax:561-627-4265
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00319082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL035009OtherVALUE OPTIONS PROVIDER ID
FL50897OtherBCBS PROVIDER ID
FL0024153OtherGHI PROVIDER ID NUMBER
FL038321000Medicaid
FL406262830OtherRAILROAD MEDICARE ID NUMB
FLD55899Medicare UPIN
FL50897Medicare ID - Type UnspecifiedMEDICARE ID NUMBER