Provider Demographics
NPI:1952698763
Name:HENRY J SCHARF, MD PA
Entity Type:Organization
Organization Name:HENRY J SCHARF, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLEPROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHARF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-545-0002
Mailing Address - Street 1:215 LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-2931
Mailing Address - Country:US
Mailing Address - Phone:732-545-0002
Mailing Address - Fax:732-846-1535
Practice Address - Street 1:215 LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:732-545-0002
Practice Address - Fax:732-846-1535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMAO43173207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJB78065Medicare UPIN