Raymund Vincent Sebastian Sison, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

25MA09122500 Issued in NJ

Practice address

111 Central Ave
Department of Medical Education
Newark, NJ 07102-1909

Phone

(201) 920-9948

NPI assigned

May 1, 2012

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

Enrolled in NJ, 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 H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: raymundvincent.sison@direct.bayonnemedicalcenter.md
• FHIR API: https://fhir4.healow.com/fhir/r4/JJBGAA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Apicha Community Health Center

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1730303017

  Corporate Officer

  CMS ownership

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.

• Central Avenue Professional Services, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newark, NJ
  • NPI 1447649694
  Medicare reassignment NPD
• Infectious Disease Group of North Jersey

  • Infectious Disease Physician
  • Bayonne, NJ
  • NPI 1083668479
  Medicare reassignment NPD
• Apicha Community Health Center

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1730303017
  Medicare reassignment NPD
• Ijkg Opco LLC

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD
• Apicha Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Jackson Heights, NY
  • NPI 1396238283

  Infectious Disease

  NPD

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1598023152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 5TH AVE",
            "address_2": "APARTMENT 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351836",
            "telephone_number": "201-920-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "address_2": "DEPARTMENT OF MEDICAL EDUCATION",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "201-920-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISON",
        "first_name": "RAYMUND VINCENT",
        "middle_name": "SEBASTIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA09122500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William John Sinnott, APN-C
• Dianne M. Sinquee, M.D.
• Alexander Sipe, MD
• Sirecare Home Assist LLC
• Kayley Sisco
• Sasha Sitahal-Dhaniram, MD
• Nadzeya Siutsou, CRNA
• Nithika Sivakumar
• Sivam Diabetes & Primary Care LLC
• Sivam Healthcare Training Incorporated

• Infectious Disease Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Infectious Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.