ANELIYA SAN MD
NPI 1083355903
Student in an Organized Health Care Education/Training Program in Newark, NJ

Q: What is Aneliya San's NPI number?

The NPI number for Aneliya San is 1083355903. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Aneliya San's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Aneliya San was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since April 05, 2022PECOS Enrolled

150 BERGEN ST, NEWARK, NJ 07103(973) 972-4732 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Apr 5, 2022 (2 updates tracked since 2022).

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About Aneliya San Md NPPES

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

ANELIYA SAN MD (NPI 1083355903) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083355903

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameANELIYA SANCredential: MD

Location Address150 BERGEN STNewark, NJ 07103-2496

Mailing Address150 Bergen StNewark, NJ 07103-2496 · (973) 972-4732

Phone(973) 972-4732

Sole ProprietorYes

Enumeration DateApril 5, 2022

Last NPPES UpdateJune 20, 20252 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1083355903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

150 BERGEN ST, Newark, NJ 07103

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aneliya San Md 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.

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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.

MR. ARIEL LIPPA, LPC, LCADC, NCC.

Counselor (Professional)