Individual provider Active NPI

Sivia K Lapidus, M.D.

  • Pediatric Rheumatology Physician
  • Hackensack, NJ
National Provider Identifier
1306161278
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
25MA08747900 Issued in NJ
Practice address
30 Prospect Ave
Hackensack, NJ 07601
Phone
(551) 996-5306
Fax
(201) 996-9815
NPI assigned
Apr 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rheumatology Physician 2080P0216X 6947471 NY
Pediatric Rheumatology Physician 2080P0216X 25MA08747900 NJ Primary
Pediatrics Physician 208000000X 6947471 NY

Addresses

Primary practice location

30 Prospect Ave
Hackensack, NJ 07601

Mailing address

30 Prospect Avenue 3 Wfan
Hackensack, NJ 07601-1915
Phone (551) 995-5306

Other practice location 1

Jersey Shore University Medical Center
19 Davis Ave 5th floor
Neptune City, NJ 07553
Phone (732) 897-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100712000538 NJ Practitioner - Pediatric MedicinePractitioner - Rheumatology 0840322731 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08747900NJMDPediatric Rheumatology Physician
6947471NYMDPediatric Rheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC Pediatrics CurrentSince Aug 21, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Aug 21, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Pediatrics CurrentSince Jan 1, 2023 Accepting new patients

Locations

30 Prospect Ave
#3
Hackensack, NJ 07601
Phone (201) 996-5226

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

30 Prospect Ave
Rm 360
Hackensack, NJ 07601
Phone (551) 996-5306

516 Lawrie St
Ste 1
Perth Amboy, NJ 08861

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Interoperability endpoints

  • Direct secure messaging: sivia.lapidus@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 3

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1306161278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVENUE 3 WFAN",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011915",
            "telephone_number": "551-995-5306",
            "fax_number": "201-996-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "551-996-5306",
            "fax_number": "201-996-9815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Jersey Shore University Medical Center",
            "address_2": "19 Davis Ave 5th floor",
            "address_purpose": "LOCATION",
            "city": "Neptune City",
            "state": "NJ",
            "postal_code": "07553",
            "country_code": "US",
            "telephone_number": "732-897-3400",
            "fax_number": "732-897-3481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAPIDUS",
        "first_name": "SIVIA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "NY",
            "license": "6947471",
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "NJ",
            "license": "25MA08747900",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "6947471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.