Healthcare Provider Details

I. General information

NPI: 1265120257
Provider Name (Legal Business Name): SUMIT SHARMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 HOSPITAL DR
TARBORO NC
27886-2011
US

IV. Provider business mailing address

355 GRAND STREET DEPARTMENT OF MEDICINE 1 EAST
JERSEY CITY NJ
07302
US

V. Phone/Fax

Practice location:
  • Phone: 252-641-7700
  • Fax:
Mailing address:
  • Phone: 201-915-2431
  • Fax: 201-915-2219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026-01583
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: