Healthcare Provider Details

I. General information

NPI: 1326342924
Provider Name (Legal Business Name): RAJEEV SHARMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2010
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 PROSPECT AVE STE 306
HACKENSACK NJ
07601-2570
US

IV. Provider business mailing address

385 PROSPECT AVE
HACKENSACK NJ
07601-2570
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-9191
  • Fax: 551-996-9725
Mailing address:
  • Phone: 551-996-9191
  • Fax: 551-996-9725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number25MA11860600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: