Siparadigm LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

00007503 Issued in NJ

Legal business name

SIPARADIGM LLC

Practice address

25 Riverside Dr Ste 2
Pine Brook, NJ 07058-9391

Phone

(201) 599-9044

Fax

(201) 599-9066

NPI assigned

May 9, 2007

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruth Amicosante

Title

Billing Manager

Phone

(650) 395-9124

Specialties & licenses 3

Addresses

Other identifiers 12

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lubab Al-Quraishi I, MD

  • Student in an Organized Health Care Education/Training Program
  • Livingston, NJ
  • NPI 1568084572
  NPD
• Amal Aly, MD., PHD

  • Ph.D. Medical Genetics
  • Pine Brook, NJ
  • NPI 1255925699
  NPD
• Mohamad A Khodair, MD, PHD

  • Independent Medical Examiner Physician
  • Pine Brook, NJ
  • NPI 1790353936
  NPD
• Sherif A Nasr

  • Anatomic Pathology & Clinical Pathology Physician
  • Pine Brook, NJ
  • NPI 1306814900
  NPD
• Rahul Gurbux Matnani

  • Hematology (Pathology) Physician
  • Rutherford, NJ
  • NPI 1649565987
  NPD (past)
• Saud Saqib Rahman, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Pine Brook, NJ
  • NPI 1063613461
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1891909941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RIVERSIDE DR STE 2",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589391",
            "telephone_number": "201-599-9044",
            "fax_number": "201-599-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 RIVERSIDE DR STE 2",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589391",
            "telephone_number": "201-599-9044",
            "fax_number": "201-599-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIPARADIGM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "AMICOSANTE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "650-395-9124"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "00007503",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "25MA05880800",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00213695",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "SI0S64U020",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL CENTER",
            "identifier": "000000039833",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "269580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIPUSA",
            "identifier": "250588080",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7262661",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066222",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "427253",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60013223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9759537",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "A3638184",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "J35526",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "Bluemark",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Sebro, MSW
• Sulamif Seewald, MS/CCC/SLP
• Self Empowering Journeys, LLC
• Jerri Shankler, MSW LCSW LCADC
• Rachelle Claire Simons, M.A. CCC-SLP
• Brian Solinsky
• Julie Solinsky, D.C.
• Janelle Sous, CCC-SLP
• Special Homes of New Jersey
• Eric W Stivers, PT,DPT,OCS

• Clinical Medical Laboratory in Pine Brook, NJ
• Providers in Pine Brook, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.