Active NPI
Priya Sivaraman, M.D.
- Family Medicine Physician
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200501484
- Practice address
- 1500 Alps Rd
Wayne, NJ 07470-3635 - Phone
- (973) 628-8500
- Fax
- (973) 628-7944
- NPI assigned
- Sep 29, 2005
- Last updated
- Feb 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200501484 | NC | Primary |
Addresses
Primary practice location
1500 Alps Rd
Wayne, NJ 07470-3635
Mailing address
1 Candlewick Dr
Towaco, NJ 07082-1259
Phone (975) 588-4036
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902165 | Medicaid | NC | |
| N01480 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1500 Alps Rd
Wayne, NJ 07470-3635
Phone (973) 628-8500
22 -02 Broadway
Fair Lawn, NJ 07410-3016
24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601
637 Route 23
Pompton Plains, NJ 07444-1419
Phone (862) 666-9210
Hospital & facility affiliations
- Valley Home Care Inc.
- Englewood Hospital and Medical Center
- Chilton Medical Center
- St Joseph's University Medical Center Inc
- Hackensack University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200501484 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Current | Accepting new patients |
Locations
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000
1500 Alps Rd
Wayne, NJ 07470
Phone (973) 628-8500
Interoperability endpoints
- priya.sivaraman@direct.carepointhealth.org
- psivaraman236623@direct.englewoodhealth.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chilton Medical Center
- General Acute Care Hospital
- Pompton Plains, NJ
- NPI 1811994809
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
dba Hackensack University Medical Center
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Hackensack, NJ
- NPI 1518683929
Hospital
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
-
- Home Health Agency
- Paramus, NJ
- NPI 1174588925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393286400000",
"number": "1952398588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CANDLEWICK DR",
"city": "TOWACO",
"state": "NJ",
"postal_code": "070821259",
"telephone_number": "975-588-4036",
"fax_number": "973-628-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 ALPS RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703635",
"telephone_number": "973-628-8500",
"fax_number": "973-628-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVARAMAN",
"first_name": "PRIYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2014-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200501484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902165",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N01480",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.
- 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.