| Ms Shara Rose Bialo, MD | |
| 1280 Almonesson Road, Deptford, NJ 08096-5502 | |
| (856) 537-7060 | |
| (856) 805-9370 | 
| Full Name | Ms Shara Rose Bialo | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Pediatric Endocrinology | 
| Location | 1280 Almonesson Road, Deptford, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700028396 | NPI | - | NPPES | 
| 7772050-00 | Medicaid | MD | |
| 103170259 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0205X | Pediatrics - Pediatric Endocrinology | C1-0011723 (Delaware) | Secondary | 
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 25MA09880800 (New Jersey) | Primary | 
| Entity Name | Cooper Pediatric Specialists, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306867585 PECOS PAC ID: 9335211317 Enrollment ID: O20080708000593 | 
| Entity Name | Nemours New Jersey Physician Practice Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265874713 PECOS PAC ID: 4486871159 Enrollment ID: O20140805000413 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Shara Rose Bialo, MD Po Box 191, Provider Enrollment, Rockland, DE 19732-0191 Ph: () - | Ms Shara Rose Bialo, MD 1280 Almonesson Road, Deptford, NJ 08096-5502 Ph: (856) 537-7060 | 
| Dr. Maryann Laudati, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 849 Cooper St, Deptford, NJ 08096 Phone: 856-848-6346 Fax: 856-848-5734 | |
| Dr. Salma Alikhan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 849 Cooper St, Deptford, NJ 08096 Phone: 856-848-6346 Fax: 856-848-5734 | |
| Dr. Angelo L. Minutillo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 849 Cooper St, Deptford, NJ 08096 Phone: 856-848-6346 Fax: 856-848-5734 | |
| Dr. Pierre N. Coant, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 849 Cooper St, Deptford, NJ 08096 Phone: 856-848-6346 Fax: 856-848-5734 | |
| Dr. Kimberly Mae Mangubat, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 849 Cooper St, Deptford, NJ 08096 Phone: 856-848-6346 Fax: 856-848-5734 | |
| Dr. Rima H Himelstein, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1280 Almonesson Rd, Deptford, NJ 08096 Phone: 856-345-1401 |