Healthcare Provider Details

I. General information

NPI: 1760699920
Provider Name (Legal Business Name): JONATHAN H SHERMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 SOMERSET ST 14TH FLOOR NEUROSURGERY
NEW BRUNSWICK NJ
08901-1942
US

IV. Provider business mailing address

210 SOMERSET ST 14TH FLOOR NEUROSURGERY
NEW BRUNSWICK NJ
08901-1942
US

V. Phone/Fax

Practice location:
  • Phone: 732-828-3000
  • Fax: 304-596-5161
Mailing address:
  • Phone: 732-235-6333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number25MA12262100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: