Kishan Arvind Sitapara, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA11448400 Issued in NJ

Practice address

720 Monroe St Ste C208
Hoboken, NJ 07030-6350

Phone

(201) 533-9200

Fax

(201) 533-9299

NPI assigned

Mar 21, 2017

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 5, 2026 through Feb 5, 2028

Specialty

Physical Medicine and RehabilitationAlso: Interventional Pain Management

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• East Coast Spine Joint and Sports Medicine

  dba The Spine and Sports Health Center

  • Physical Medicine & Rehabilitation Physician
  • Hoboken, NJ
  • NPI 1194904730
  NPD
• Samwell Institute of Pain Management LLC

  • Interventional Pain Medicine Physician
  • Colonia, NJ
  • NPI 1124501689
  NPD
• Samwell Surgical

  dba Englewood Cliffs Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Englewood Cliffs, NJ
  • NPI 1164118147
  NPD

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1285165431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MONROE ST STE C208",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306350",
            "telephone_number": "201-533-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MONROE ST STE C208",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306350",
            "telephone_number": "201-533-9200",
            "fax_number": "201-533-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITAPARA",
        "first_name": "KISHAN",
        "middle_name": "ARVIND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA11448400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rae Simon, LCSW, NCPSYA
• Simply Centered Pelvic Health LLC
• Singh Consulting LLC (Hyperoptics)
• Jason Singh, DPM
• Susan Sisbarro, MD
• Priya Sivasankaran
• Emma Sivertsen, NP
• Chris J Skaria, PHARM.D
• SLM Nutrition, LLC
• Alyson Smith, LMFT

• Physical Medicine & Rehabilitation Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.