Individual Healthcare Provider
Jessica Sharifi-Azad, RPA-C
Provider's NPPES record last updated: July 30, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1972748168
- Primary Specialty
- Physician Assistant — Medical
- Practice Location
- Marlton, New Jersey
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 8:57 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X
Provider-Reported License Information
- Physician Assistant (New York)
- MS1705384
- Physician Assistant (Pennsylvania)
- MA056645
- Physician Assistant (New Jersey)
- 25MP00527200
Practice Locations
Practice Location
525 Route 73 N Ste 117
Marlton, New Jersey 08053-3422
Phone: (888) 803-3370
Additional Practice Location
401 Young Ave Ste 245b
Moorestown, New Jersey 08057-3132
Phone: (856) 727-0900
Fax: (856) 231-8428
Additional Practice Location
200 Bowman Drive, Suite E385, Front
Voorhees, New Jersey 08043
Phone: (856) 247-7220
Fax: (856) 247-7768
Additional Practice Location
305 Route 70 E Ste A
Cherry Hill, New Jersey 08034-2408
Phone: (856) 375-6243
Fax: (856) 234-0498
Record Information
- Enumeration Date
- December 3, 2008
- Provider's NPPES Record Last Updated
- July 30, 2025
- Certification Date
- July 30, 2025
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue