MR. SIDDHARTHA PRASAD APN.C
NPI 1295803633
Nurse Practitioner - Adult Health in New Brunswick, NJ

Active since December 02, 2006PECOS EnrolledAccepts Medicare Assignment
1 ROBERT WOOD JOHNSON PL, SPECIAL PROCEDURES, NEW BRUNSWICK, NJ 08901(732) 828-3000 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 5, 2023, Nov 20, 2015 (2 updates tracked since 2015).

About Mr. Siddhartha Prasad Apn.c NPPES

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

MR. SIDDHARTHA PRASAD APN.C (NPI 1295803633) is an individual adult health provider in New Brunswick, New Jersey, licensed in Maryland (R221879) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295803633
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. SIDDHARTHA PRASADCredential: APN.C
Location Address1 ROBERT WOOD JOHNSON PL, SPECIAL PROCEDURESNew Brunswick, NJ 08901-1928
Mailing Address4560 Shadowstone DrForks Township, PA 18040-6694 · (732) 801-8326
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 2, 2006
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1295803633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in MD · R221879✔ Licensed in NJ · 26NJ00120700✔ Licensed in PA · SP010259
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 26N011085000 (NJ)
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN603487 (PA)
1 ROBERT WOOD JOHNSON PL, New Brunswick, NJ 08901

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

Mr. Siddhartha Prasad Apn.c 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 ID8022338136
PECOS Enrollment IDI20230915003327
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

11

Medicare enrollment records show Siddhartha Prasad reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
Urgent Care
67 E RIDGEWOOD AVE, UNIT C
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 144 clinicians in this Medicare group
Family Medicine
8330 EASTON RD, SUITE C
Ottsville, PA 18942
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
Urgent Care
2804 SOUTHAMPTON RD
Philadelphia, PA 19154
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 67 clinicians in this Medicare group
Urgent Care
2003 SULLIVAN TRL
Easton, PA 18040
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Luke's Hospital
  • 128 clinicians in this Medicare group
Family Medicine
21 CORPORATE DR, STE. 1
Easton, PA 18045
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 161 clinicians in this Medicare group
General Practice
2461 NAZARETH RD, 25TH ST. SHOPPING CENTER
Easton, PA 18045
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 10 clinicians in this Medicare group
Emergency Medicine
1021 PARK AVE
Quakertown, PA 18951
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 128 clinicians in this Medicare group
General Practice
511 E 3RD ST STE 202
Bethlehem, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 318 clinicians in this Medicare group
Urgent Care
487 E MOORESTOWN RD
Wind Gap, PA 18091
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Hospital-Anderson Campus
  • 104 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 08901 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Pathology (Anatomic Pathology)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Anesthesiology
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Acute Care)
1 ROBERT WOOD JOHNSON PL, 2 CORE - RM. 257
NEW BRUNSWICK, NJ 08901
Emergency Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

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 Siddhartha Prasad's NPI number?

The NPI number for Siddhartha Prasad is 1295803633. It was assigned to this individual provider in the NPPES registry on December 2, 2006.

Where is Siddhartha Prasad located?

Siddhartha Prasad practices at 1 Robert Wood Johnson Pl Special Procedures, New Brunswick, NJ 08901. The listed phone number is (732) 828-3000.

What is Siddhartha Prasad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Siddhartha Prasad enrolled in Medicare?

Yes. Siddhartha Prasad 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 Siddhartha Prasad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Siddhartha Prasad reassigns Medicare benefits to 11 organizations: Robert Wood Johnson Medical Associates (New Brunswick, NJ), Drx Paramus, LLC (Paramus, NJ), St. Luke's Physician Group, Inc. (Ottsville, PA), American Current Care PA (Philadelphia, PA), St Lukes Hospital (Easton, PA) and 6 more organizations, listed in the Medicare section above. 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 Siddhartha Prasad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Siddhartha Prasad accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Siddhartha Prasad 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 Siddhartha Prasad was last updated on July 5, 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.