NPIMap

Individual provider Active NPI

Sinisa Ivelja, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Edison, NJ
National Provider Identifier
1205070471
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA09241200 Issued in NJ
Practice address
122 James St
Edison, NJ 08820-3945
Phone
(732) 243-9694
NPI assigned
Apr 30, 2009
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X 25MA09241200 NJ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA09241200 NJ Primary

Addresses

Primary practice location

122 James St
Edison, NJ 08820-3945

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other practice location 1

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (732) 324-5162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150610000354 NJ Practitioner - Pathology 0941521355 Reassigns benefits to 5 organizations
I20201211001759 NY Practitioner - Pathology 0941521355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 538-2000

30 Prospect Ave
Hackensack, NJ 07601-1915

385 Hwy 18
Suite K
East Brunswick, NJ 08816-5703
Phone (732) 238-4343

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 2, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Aug 12, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Aug 12, 2024 Accepting new patients
New York University Anatomic Pathology & Clinical Pathology CurrentSince Sep 2, 2020 Accepting new patients
Kailash Singhvi MD PC CurrentSince Mar 22, 2020 Accepting new patients
New York University CurrentSince Dec 10, 2025 Accepting new patients
NJ Gastro, LLC CurrentSince Aug 19, 2017 Accepting new patients

Locations

385 State Route 18
Ste K
East Brunswick, NJ 08816
Phone (732) 238-4343

509 Stillwells Corner Rd
#E
Freehold, NJ 07728
Phone (732) 677-3737

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1700 Galloping Hill Rd
Kenilworth, NJ 07033
Phone (908) 241-8900

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

24 Merchant St
Newark, NJ 07105
Phone (973) 344-4787

24 Merchant St
Ste 28
Newark, NJ 07105

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0880

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: sivelja432181@nyumc.direct-ci.com

Organizations & group practices 9

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

Hospital & facility affiliations 7

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": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1205070471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203945",
            "telephone_number": "732-243-9694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 New Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Perth Amboy",
            "state": "NJ",
            "postal_code": "088613654",
            "country_code": "US",
            "telephone_number": "732-324-5162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVELJA",
        "first_name": "SINISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NJ",
            "license": "25MA09241200",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA09241200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.