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DR. SHIVA REZVANIAN M.D
NPI 1043421811
Internal Medicine in Phillipsburg, NJ

Active since May 24, 2007PECOS Enrolled
185 ROSEBERRY ST, PHILLIPSBURG, NJ 08865(908) 835-1910(908) 835-1886 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shiva Rezvanian M.d NPPES

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

DR. SHIVA REZVANIAN M.D (NPI 1043421811) is an individual internal medicine provider in Phillipsburg, New Jersey, licensed in New Jersey (N-A) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043421811
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHIVA REZVANIANCredential: M.D
Location Address185 ROSEBERRY STPhillipsburg, NJ 08865-1690
Mailing AddressPo Box 6801Bridgewater, NJ 08807-0801 · (908) 387-6611
Phone(908) 835-1910
Fax(908) 835-1886
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateNovember 29, 2021
✔ NPI 1043421811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · N-A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
185 ROSEBERRY ST, Phillipsburg, NJ 08865
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Other Identifiers 1

Medicaid218847NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shiva Rezvanian 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 08865 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 20

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

ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Physician Assistant (Surgical)
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 847-2621
JOHN M BROWN MD
Pathology (Anatomic Pathology)
185 ROSEBERRY ST, WARREN HOSPITAL
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6750
DR. DARIA M. STAROSTA DO
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
DR. ATILIO R ROSCHER MD
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
MS. JERI LYNN FLYNN MPH,RD,CHES
Dietitian, Registered
185 ROSEBERRY ST, 185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
YING SUN CRNA
Nurse Anesthetist, Certified Registered
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (610) 954-5810
SARA VINCENZI RD, LDN
Dietitian, Registered
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
ANESTHESIA SPECIALISTS OF WARREN, LLC
Anesthesiology
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (610) 954-5810

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 Shiva Rezvanian's NPI number?

The NPI number for Shiva Rezvanian is 1043421811. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Shiva Rezvanian located?

Shiva Rezvanian practices at 185 Roseberry St, Phillipsburg, NJ 08865. The listed phone number is (908) 835-1910.

What is Shiva Rezvanian's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shiva Rezvanian enrolled in Medicare?

Yes. Shiva Rezvanian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shiva Rezvanian was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.