Healthcare Provider Details

I. General information

NPI: 1861653826
Provider Name (Legal Business Name): ADITY SHARMA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 CORNWALL DR
EAST BRUNSWICK NJ
08816-3311
US

IV. Provider business mailing address

3 CORNWALL DR
EAST BRUNSWICK NJ
08816-3311
US

V. Phone/Fax

Practice location:
  • Phone: 732-698-1000
  • Fax: 732-698-1008
Mailing address:
  • Phone: 732-698-1000
  • Fax: 732-698-1008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA09409400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD036145
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number25MA09409400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: