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SHILPY SETYA M.D.
NPI 1013109925
Pediatrics in Livingston, NJ

Active since August 14, 2007PECOS Enrolled
94 OLD SHORT HILLS RD RM 4143A, LIVINGSTON, NJ 07039(973) 322-5690 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shilpy Setya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHILPY SETYA M.D. (NPI 1013109925) is an individual pediatrics provider in Livingston, New Jersey, licensed in New Jersey (25MA08785700) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013109925
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHILPY SETYACredential: M.D.
Location Address94 OLD SHORT HILLS RD RM 4143ALivingston, NJ 07039-5672
Mailing Address5 Springfield CtParsippany, NJ 07054-2943 · (973) 580-8272
Phone(973) 322-5690
Sole ProprietorNo
Enumeration DateAugust 14, 2007
Last NPPES UpdateMarch 23, 2012
✔ NPI 1013109925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · 25MA08785700✔ Licensed in NY · 626888
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
94 OLD SHORT HILLS RD RM 4143A, Livingston, NJ 07039
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shilpy Setya M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07039 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shilpy Setya's NPI number?

The NPI number for Shilpy Setya is 1013109925. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Shilpy Setya located?

Shilpy Setya practices at 94 Old Short Hills Rd Rm 4143A, Livingston, NJ 07039. The listed phone number is (973) 322-5690.

What is Shilpy Setya's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shilpy Setya enrolled in Medicare?

Yes. Shilpy Setya is registered in the Medicare PECOS enrollment system.

What insurance does Shilpy Setya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Molina Healthcare list Shilpy Setya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shilpy Setya was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.