MR. DHIRAJ SHARMA APN
NPI 1205502556
Nurse Practitioner - Adult Health in Livingston, NJ

Active since August 17, 2021PECOS EnrolledAccepts Medicare Assignment
200 S ORANGE AVE # 165, LIVINGSTON, NJ 07039(973) 322-7580(973) 322-7505 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2023, May 12, 2023, Aug 17, 2021 (3 updates tracked since 2021).

About Mr. Dhiraj Sharma Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DHIRAJ SHARMA APN (NPI 1205502556) is an individual adult health provider in Livingston, New Jersey, licensed in New Jersey (26NJ01132000) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205502556
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. DHIRAJ SHARMACredential: APN
Location Address200 S ORANGE AVE # 165Livingston, NJ 07039-5817
Mailing Address200 S Orange Ave # 165Livingston, NJ 07039-5817 · (973) 322-7580 · Fax (973) 322-7505
Fax(973) 322-7505
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 17, 2021
Last NPPES UpdateDecember 5, 20233 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1205502556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ01132000
200 S ORANGE AVE # 165, Livingston, NJ 07039

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Dhiraj Sharma Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911305016
PECOS Enrollment IDI20211004001847
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Dhiraj Sharma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
1218 STUYVESANT AVE
Union, NJ 07083
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
Legal Medicine
900 WOODBRIDGE CTR DR
Woodbridge, NJ 07095
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
Family Medicine
464 HUDSON TER STE 201
Englewood Cliffs, NJ 07632
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07039 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers16 claims16 services$30.75 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers11 claims11 services$13.43 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers18 claims101 services$1.63 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers21 claims21 services$25.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$61.70 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$30.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dhiraj Sharma's NPI number?

The NPI number for Dhiraj Sharma is 1205502556. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Dhiraj Sharma located?

Dhiraj Sharma practices at 200 S Orange Ave # 165, Livingston, NJ 07039. The listed phone number is (973) 322-7580.

What is Dhiraj Sharma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dhiraj Sharma enrolled in Medicare?

Yes. Dhiraj Sharma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dhiraj Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhiraj Sharma reassigns Medicare benefits to 3 organizations: Express Urgent Care LLC (Union, NJ), Mohammad A Zubair MD LLC (Woodbridge, NJ) and Hudson MD Group (Englewood Cliffs, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dhiraj Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dhiraj Sharma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Dhiraj Sharma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dhiraj Sharma affiliated with any hospitals?

According to CMS data, Dhiraj Sharma is affiliated with Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Dhiraj Sharma was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.