Individual provider Active NPI

Muthu Vel Sivasankaran, MD

  • Occupational Medicine Physician
  • Marlton, NJ
National Provider Identifier
1194088575
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
25MA10690400 Issued in NJ
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

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0720321MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
25MA10690400NJMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.