NPIMap

Individual provider Active NPI

Sergei A Pushilin, M.D.

  • Orthopaedic Surgery Physician
  • Wall Township, NJ
National Provider Identifier
1174884779
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA10357500 Issued in NJ
Practice address
44810 Belmar Blvd, 1St Floor
Wall Township, NJ 07753-0775
Phone
(732) 938-6090
NPI assigned
May 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 25MA10357500 NJ
Orthopaedic Surgery Physician 207X00000X 25MA10357500 NJ Primary

Addresses

Primary practice location

44810 Belmar Blvd, 1St Floor
Wall Township, NJ 07753-0775

Mailing address

2 Worlds Fair Dr
Somerset, NJ 08873-1369
Phone (732) 537-0909

Other practice location 1

2 Worlds Fair Dr
Somerset, NJ 08873-1369
Phone (732) 537-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180827000191 NJ Practitioner - Orthopedic Surgery 6507136678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York Downstate Medical Center, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

2 Worlds Fair Dr
University Orthopaedic Associates
Somerset, NJ 08873-1369
Phone (732) 537-0909

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Hackensack Meridian at Home Monmouth County Home health agency, Neptune, NJ, CCN 317084
  • Robert Wood Johnson Visiting Nurses, Inc Home health agency, North Brunswick, NJ, CCN 317079
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048
  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10357500NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonj LLC Orthopaedic Surgery CurrentSince Mar 1, 2020 Accepting new patients
Orthonj LLC Orthopaedic Surgery CurrentSince Mar 1, 2020 Accepting new patients

Locations

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

2 Worlds Fair Dr
Somerset, NJ 08873
Phone (732) 537-0200

4810 Belmar Blvd
Wall Township, NJ 07753
Phone (732) 938-5333

Interoperability endpoints

  • Direct secure messaging: sergei.pushilin.1@8568.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1174884779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WORLDS FAIR DR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731369",
            "telephone_number": "732-537-0909",
            "fax_number": "732-564-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44810 BELMAR BLVD, 1ST FLOOR",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077530775",
            "telephone_number": "732-938-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Worlds Fair Dr",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088731369",
            "country_code": "US",
            "telephone_number": "732-537-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUSHILIN",
        "first_name": "SERGEI",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NJ",
            "license": "25MA10357500",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA10357500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.