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NPI Code Detail

MEDICARE: NIKKI ELISE SHAROUPIM

MEDICARE: NIKKI ELISE SHAROUPIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist35SI00794700NJ

General Provider Information

NPI Number : 1215883368
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKKI ELISE SHAROUPIM
Provider Business Mailing Address
First Line : 44 WEST ST
Second Line :
City : MONMOUTH BEACH
State : NJ
Zip : 07750-1326
Country : US
Telephone Number : 732-361-2914
Fax Number :
Provider Business Practice Location Address
First Line : 44 WEST ST
Second Line :
City : MONMOUTH BEACH
State : NJ
Zip : 07750-1326
Country : US
Telephone Number : 732-361-2914
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ NIKKI ELISE SHAROUPIM ” Practice Location

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