SWAMINI SINHA MD, PHD
NPI 1154856144
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in New Providence, NJ

Q: What is Swamini Sinha's NPI number?

The NPI number for Swamini Sinha is 1154856144. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Q: What is Swamini Sinha's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Swamini Sinha was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 27, 2017PECOS EnrolledAccepts Medicare Assignment

890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974(973) 718-5800(908) 897-3747 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 27, 2023, Apr 27, 2017 (2 updates tracked since 2017).

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About Swamini Sinha Md, Phd NPPES

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

SWAMINI SINHA MD, PHD (NPI 1154856144) is an individual neurology with special qualifications in child neurology provider in New Providence, New Jersey, licensed in New Jersey (25MA11740700) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2017).

NPPES Registry Identity

NPI1154856144

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameSWAMINI SINHACredential: MD, PHD

Location Address890 MOUNTAIN AVENew Providence, NJ 07974-1218

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300

Phone(973) 718-5800

Fax(908) 897-3747

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 2017

Enumeration DateApril 27, 2017

Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration

NPPES CertifiedMarch 27, 2023

✔ NPI 1154856144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in NJ · 25MA11740700

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

890 MOUNTAIN AVE, New Providence, NJ 07974

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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

Swamini Sinha Md, Phd 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 ID6305210675

PECOS Enrollment IDI20230328002113

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 Reassignment

Medicare enrollment records show Swamini Sinha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group PA

0.6 mi

Multi-Specialty

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922

Reassigned Medicare billing, New Jersey enrollment
1,184 clinicians in this Medicare group

NPI 1942254347 (908) 273-4300

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 07974 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.

MS. MARGARET S CLARKE LPC

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