Active NPI
Muthu Vel Sivasankaran, MD
- Occupational Medicine Physician
- Marlton, NJ
National Provider Identifier
1194088575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 25MA10690400
- Practice address
- 400 Lippincott Dr Ste 115
Marlton, NJ 08053-4161 - Phone
- (856) 355-7010
- Fax
- (856) 355-7011
- NPI assigned
- Jun 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 25MA10690400 | NJ | Primary |
Addresses
Primary practice location
400 Lippincott Dr Ste 115
Marlton, NJ 08053-4161
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other practice location 1
1818 Albion St
Nashville, TN 37208-2918
Phone (615) 327-6782
Other practice location 2
1005 Dr. D.B. Todd Jr Blvd
Nashville, TN 37208
Phone (615) 327-6782
Other practice location 3
476 Suttons Ln
Edison, NJ 08817-2433
Phone (862) 755-9821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0720321 | Medicaid | NJ |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msivasankaran113958@directvirtua.org | ||
| Direct Messaging Address | msivasankaran113958@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10690400 | NJ | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Past | Accepting new patients |
Interoperability endpoints
- msivasankaran113958@directvirtua.org
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1194088575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-355-0340",
"fax_number": "856-355-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LIPPINCOTT DR STE 115",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534161",
"telephone_number": "856-355-7010",
"fax_number": "856-355-7011"
}
],
"practiceLocations": [
{
"address_1": "1818 Albion St",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372082918",
"country_code": "US",
"telephone_number": "615-327-6782",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1005 Dr. D.B. Todd Jr Blvd",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "37208",
"country_code": "US",
"telephone_number": "615-327-6782",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "476 Suttons Ln",
"address_purpose": "LOCATION",
"city": "Edison",
"state": "NJ",
"postal_code": "088172433",
"country_code": "US",
"telephone_number": "862-755-9821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIVASANKARAN",
"first_name": "MUTHU",
"middle_name": "VEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NJ",
"license": "25MA10690400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0720321",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msivasankaran113958@directvirtua.org",
"affiliation": "N",
"address_1": "400 Lippincott Dr Ste 115",
"city": "Marlton",
"state": "NJ",
"country_code": "US",
"postal_code": "080534161",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msivasankaran113958@directvirtua.org",
"affiliation": "N",
"address_1": "315 Route 70 E",
"city": "Cherry Hill",
"state": "NJ",
"country_code": "US",
"postal_code": "080342408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.