| My Md Group Llc | |
|
19 N County Line Rd Jackson NJ 08527-1255 | |
| (732) 901-8880 | |
| (732) 901-0882 |
| Full Name | My Md Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19 N County Line Rd, Jackson, New Jersey |
| Authorized Official Name and Position | Nivedita Sharma (MEDICAL DOCTOR) |
| Authorized Official Contact | 7329018880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Md Group Llc Po Box 172 Manalapan NJ 07726-0172 Ph: (732) 901-8880 | My Md Group Llc 19 N County Line Rd Jackson NJ 08527-1255 Ph: (732) 901-8880 |
| NPI Number | 1811121916 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 02/25/2011 |
| Medicare PECOS PAC ID | 8527117001 |
|---|---|
| Medicare Enrollment ID | O20090513000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811121916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA07276900 (New Jersey) | Primary |
| Provider Name | Nivedita Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932134855 PECOS PAC ID: 0840182812 Enrollment ID: I20040325000993 |
| Provider Name | Farida Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962677583 PECOS PAC ID: 6406021310 Enrollment ID: I20111205000422 |
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