Healthcare Provider Details

I. General information

NPI: 1356305304
Provider Name (Legal Business Name): SHARI NAIDRICH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 MOUNTAINVIEW BLVD
BASKING RIDGE NJ
07920-3444
US

IV. Provider business mailing address

136 MOUNTAINVIEW BLVD
BASKING RIDGE NJ
07920-3444
US

V. Phone/Fax

Practice location:
  • Phone: 908-538-6995
  • Fax:
Mailing address:
  • Phone: 908-466-5980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMA72503
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: