Organization Active NPI

E Sivalingam MD PA

  • Specialist
  • Medford, NJ
National Provider Identifier
1972682797
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06043700 Issued in NJ
Legal business name
E SIVALINGAM MD PA
Practice address
103 Old Marlton Pike
Suite 203
Medford, NJ 08055-8772
Phone
(609) 654-1770
Fax
(609) 654-2320
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Dr. Varunan Sivalingam, MD
Title
President/Owner
Phone
(609) 654-1770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA06043700 NJ Primary

Addresses

Primary practice location

103 Old Marlton Pike
Suite 203
Medford, NJ 08055-8772

Mailing address

103 Old Marlton Pike
Suite 203
Medford, NJ 08055-8772
Phone (609) 654-1770

Other identifiers 1

IdentifierTypeStateIssuer
1972682797OtherNJMEDICARE NPI

National Provider Directory

National Provider Directory

Locations

103 Old Marlton Pike
Ste 203
Medford, NJ 08055
Phone (609) 654-1770

1000 Atrium Way
Ste 103
Mount Laurel, NJ 08054
Phone (856) 235-9995

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1972682797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 OLD MARLTON PIKE",
            "address_2": "SUITE 203",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558772",
            "telephone_number": "609-654-1770",
            "fax_number": "609-654-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 OLD MARLTON PIKE",
            "address_2": "SUITE 203",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558772",
            "telephone_number": "609-654-1770",
            "fax_number": "609-654-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E SIVALINGAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "SIVALINGAM",
        "authorized_official_first_name": "VARUNAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "609-654-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06043700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1972682797",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.