Provider Demographics
NPI:1891055224
Name:SPARBER, LAUREN SHERI (MD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:SHERI
Last Name:SPARBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 OLD SHORT HILLS RD
Mailing Address - Street 2:DEPARTMENT OF SURGERY
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5672
Mailing Address - Country:US
Mailing Address - Phone:973-322-8945
Mailing Address - Fax:
Practice Address - Street 1:LONG ISLAND JEWISH
Practice Address - Street 2:270-05 76TH AVENUE - SUITE B305
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040
Practice Address - Country:US
Practice Address - Phone:516-470-5840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-18
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY278104174V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174V00000XOther Service ProvidersClinical Ethicist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program