Shiveindra B Jeyamohan, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

25MA10821200 Issued in NJ

Practice address

1680 Route 23 Ste 250
Wayne, NJ 07470-7520

Phone

(973) 633-1122

Fax

(973) 832-7550

NPI assigned

Apr 12, 2009

Last updated

May 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, NY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: shiveindrajeyamohan@ossm.allscriptsdirect.net
• Direct secure messaging: sjeyamohan623106@wm.providencedirect.org

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.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Orthopaedics Spine and Sports Medicine LLC

  dba Total Orthopaedics and Sports Medicine, LLP

  • Orthopaedic Surgery Physician
  • Syosset, NY
  • NPI 1548490063
  Medicare reassignment NPD
• Jey Institute

  • Neurological Surgery Physician
  • Newark, NJ
  • NPI 1487548608
  NPD Authorized official
• The Jey Institute

  dba VitalSpine

  • Neurological Surgery Physician
  • Newark, NJ
  • NPI 1346037439
  NPD Authorized official
• The Jeyamohan Institute PC

  • Neurological Surgery Physician
  • Edison, NJ
  • NPI 1871485334
  NPD Authorized official
• The Jeyamohan Institute PC

  • Neurological Surgery Physician
  • West Orange, NJ
  • NPI 1255247896
  Authorized official Same address or phone
• Orthopaedics Spine and Sports Medicine LLC

  dba Total Orthopedics and Sports Medicine

  • Orthopaedic Surgery of the Spine Physician
  • Bayonne, NJ
  • NPI 1154030328
  NPD
• Orthopaedics Spine and Sports Medicine, LLC

  dba Total Orthopaedics and Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Syosset, NY
  • NPI 1073096590
  NPD

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

{
    "created_epoch": "1239494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1528201118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 LEONARD ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133458",
            "telephone_number": "609-575-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 250",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707520",
            "telephone_number": "973-633-1122",
            "fax_number": "973-832-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 13th St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011621",
            "country_code": "US",
            "telephone_number": "425-297-6400",
            "fax_number": "425-259-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEYAMOHAN",
        "first_name": "SHIVEINDRA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-12",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD60544491",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA10821200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjeyamohan623106@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1717 13th St Ste 401",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982011621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• JC Rehabilitation LLC
• Jeffrey B. Wise, M.D., L.L.C.
• Jerisan Jeganathan, DPM
• Jersey Integrative Health & Wellness, PC
• Jewish Family Service of North Jersey, Inc.
• JF Health and Wellness LLC
• Linlin Jiang
• Jim Collins PT
• Yong Jin
• Leonard Joachim, MD

• Neurological Surgery Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.