Provider Demographics
NPI:1194798041
Name:SHARMA, NITYA (MD)
Entity type:Individual
Prefix:DR
First Name:NITYA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:3RD FL
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:3020 WESTCHESTER AVE
Practice Address - Street 2:2ND FL.
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-2510
Practice Address - Country:US
Practice Address - Phone:914-253-6464
Practice Address - Fax:914-682-6403
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221178207R00000X, 2083B0002X
CT041731207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY090AK2/090AK03OtherBLUE CROSS PPO
NY0007835232OtherAETNA NON HMO
NY133884168OtherBEECH STREET
NY02172214Medicaid
NY133884168Other1199
NY133884168OtherPOMCO
NY133884168Other1199
NY02172214Medicaid
NY133884168OtherPOMCO