Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHIVANI H VAIDYA DO
NPI 1013545714
Psychiatry & Neurology - Neurology in Somerset, NJ

Active since March 29, 2020PECOS EnrolledAccepts Medicare Assignment
77 VERONICA AVE STE 102, SOMERSET, NJ 08873(732) 246-1311 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2026, Jun 21, 2024, Mar 29, 2020 (3 updates tracked since 2020).

About Shivani H Vaidya Do NPPES

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

SHIVANI H VAIDYA DO (NPI 1013545714) is an individual neurology provider in Somerset, New Jersey, licensed in New Jersey (25MB12770300) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013545714
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSHIVANI H VAIDYACredential: DO
Location Address77 VERONICA AVE STE 102Somerset, NJ 08873-6804
Mailing Address77 Veronica Ave Ste 102Somerset, NJ 08873-6804 · (336) 716-2261
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 29, 2020
Last NPPES UpdateSeptember 21, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1013545714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in NJ · 25MB12770300✔ Licensed in NC · 2024-01522
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2024-01522 (NC)
77 VERONICA AVE STE 102, Somerset, NJ 08873

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shivani H Vaidya Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103366810
PECOS Enrollment IDI20250912002566
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shivani Vaidya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
77 VERONICA AVE STE 102
SOMERSET, NJ 08873
Psychiatry & Neurology (Neurology)
77 VERONICA AVE STE 102
SOMERSET, NJ 08873
Psychiatry & Neurology (Neurology)
77 VERONICA AVE STE 102
SOMERSET, NJ 08873

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 Shivani Vaidya's NPI number?

The NPI number for Shivani Vaidya is 1013545714. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Shivani Vaidya located?

Shivani Vaidya practices at 77 Veronica Ave Ste 102, Somerset, NJ 08873. The listed phone number is (732) 246-1311.

What is Shivani Vaidya's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Shivani Vaidya enrolled in Medicare?

Yes. Shivani Vaidya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shivani Vaidya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shivani Vaidya reassigns Medicare benefits to 2 organizations: The Radiology Group Of New Jersey, LLC (Hackettstown, NJ) and Wake Forest University Health Sciences (Winston Salem, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shivani Vaidya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shivani Vaidya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, AmeriHealth Caritas Next and Oscar Health list Shivani Vaidya 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 Shivani Vaidya was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.