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CLAUDINE M. SYLVESTER M. D.
NPI 1033263744
Obstetrics & Gynecology in West Orange, NJ

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
520 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052(973) 669-5711(973) 669-5722 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Claudine M. Sylvester M. D. NPPES

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

CLAUDINE M. SYLVESTER M. D. (NPI 1033263744) is an individual obstetrics & gynecology provider in West Orange, New Jersey, licensed in New Jersey (MA066792) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1996).

NPPES Registry Identity

NPI1033263744
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCLAUDINE M. SYLVESTERCredential: M. D.
Location Address520 PLEASANT VALLEY WAYWest Orange, NJ 07052-2802
Mailing AddressPo Box 536Voorhees, NJ 08043-0536 · (856) 669-6050 · Fax (856) 651-0794
Phone(973) 669-5711
Fax(973) 669-5722
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1996
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMay 6, 2016
✔ NPI 1033263744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · MA066792
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
520 PLEASANT VALLEY WAY, West Orange, NJ 07052
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Other Identifiers 1

Medicare UPING84981NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Claudine M. Sylvester M. D. 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 ID7315996006
PECOS Enrollment IDI20050120000205
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 Claudine Sylvester reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group, PC
3.7 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123
Barnabas Health Medical Group PC
11 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
76 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services25 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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 4

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

MINA MEGALLA M.D.
Obstetrics & Gynecology
520 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Essex County (973) 669-5711
MRS. VIVIAN S LO MD
Obstetrics & Gynecology
520 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Essex County (973) 669-5711
REGIONAL WOMEN'S HEALTH GROUP, LLC
Obstetrics & Gynecology
520 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Essex County (973) 669-5711
WOMEN FIRST HEALTH CENTER, LLC
Specialist
520 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Essex County (973) 669-5711

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 Claudine Sylvester's NPI number?

The NPI number for Claudine Sylvester is 1033263744. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Claudine Sylvester located?

Claudine Sylvester practices at 520 Pleasant Valley Way, West Orange, NJ 07052. The listed phone number is (973) 669-5711.

What is Claudine Sylvester's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Claudine Sylvester enrolled in Medicare?

Yes. Claudine Sylvester 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 Claudine Sylvester's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudine Sylvester reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group, PC (West Orange, NJ) and Barnabas Health Medical Group PC (Elizabeth, NJ). 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 Claudine Sylvester's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudine Sylvester accept?

Health plans from Oscar Health list Claudine Sylvester 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 Claudine Sylvester was last updated on May 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.