ELY SEBASTIAN MD
NPI 1407094998
Transplant Surgery in Camden, NJ

Q: What is Ely Sebastian's NPI number?

The NPI number for Ely Sebastian is 1407094998. It was assigned to this individual provider in the NPPES registry on January 22, 2009.

Q: What is Ely Sebastian's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Q: When was this NPI record last updated?

The NPPES record for Ely Sebastian was last updated on October 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 22, 2009PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1601 HADDON AVE # A, CAMDEN, NJ 08103(856) 757-3840 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 7, 2024, Oct 19, 2020, Sep 28, 2020 (3 updates tracked since 2020).

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About Ely Sebastian Md NPPES

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

ELY SEBASTIAN MD (NPI 1407094998) is an individual transplant surgery provider in Camden, New Jersey, licensed in New Jersey (25MA08894600) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407094998

Entity TypeIndividualMale

Primary Taxonomy204F00000X

Provider Legal NameELY SEBASTIANCredential: MD

Location Address1601 HADDON AVE # ACamden, NJ 08103-3109

Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330

Phone(856) 757-3840

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateJanuary 22, 2009

Last NPPES UpdateOctober 7, 20243 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1407094998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204F00000X

Licenses✔ Licensed in NJ · 25MA08894600✔ Licensed in PA · MT192744

Definition

A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee

1601 HADDON AVE # A, Camden, NJ 08103

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Secondary Practice Locations 2

Location 163 Kresson Rd Ste 106ACherry Hill, NJ 08034-3200 · Phone (856) 796-3970 · Fax (856) 547-0362

Location 21105 Laurel Oak Rd Ste 165BVoorhees, NJ 08043-4312 · Phone (856) 757-3840 · Fax (856) 757-3519

Other Identifiers 1

Medicaid0260193NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ely Sebastian Md 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 ID5890971659

PECOS Enrollment IDI20110512000665

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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

32 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ

1/5 CMS rating

OwnershipGovernment - State

CMS Certification Number310029

Location1600 Haddon AvenueCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers25 claims4,620 services$0.32 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier13 claims1,950 services$0.01 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers49 claims11,640 services$1.00 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers43 claims43 services$19.01 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers43 claims50 services$12.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

MACKENZIE CAROLYN WALTZ DALLAIRE PA-C

Physician Assistant (Surgical)