Provider Demographics
NPI:1063516169
Name:SCHARF, HENRY JOEL (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:JOEL
Last Name:SCHARF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HENRY
Other - Middle Name:JOEL
Other - Last Name:SCHARF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:215 LIVINGSTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901
Mailing Address - Country:US
Mailing Address - Phone:732-545-0002
Mailing Address - Fax:732-846-1535
Practice Address - Street 1:215 LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:732-545-0002
Practice Address - Fax:732-846-1535
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA043173207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ11538OtherAETNA
B78065Medicare UPIN
NJ520332Medicare ID - Type Unspecified