DR. PRABHA SIVAPRAKASAM
NPI 1780170209
Pediatrics in Livingston, NJ

Q: What is Prabha Sivaprakasam's NPI number?

The NPI number for Prabha Sivaprakasam is 1780170209. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Q: What is Prabha Sivaprakasam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 09, 2018PECOS Enrolled

94 OLD SHORT HILLS RD STE 1, LIVINGSTON, NJ 07039(973) 322-5000 Get Directions Write a Review

NPPES record last updated: July 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2021, Jul 9, 2018 (2 updates tracked since 2018).

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About Dr. Prabha Sivaprakasam NPPES

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

DR. PRABHA SIVAPRAKASAM (NPI 1780170209) is an individual pediatrics provider in Livingston, New Jersey, licensed in New Jersey (25MA11152800) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1780170209

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. PRABHA SIVAPRAKASAM

Location Address94 OLD SHORT HILLS RD STE 1Livingston, NJ 07039-5668

Mailing Address94 Old Short Hills Rd Ste 1Livingston, NJ 07039-5668 · (973) 322-5000

Phone(973) 322-5000

Sole ProprietorNo

Enumeration DateJuly 9, 2018

Last NPPES UpdateJuly 24, 20212 updates tracked since enumeration

NPPES CertifiedJuly 24, 2021

✔ NPI 1780170209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NJ · 25MA11152800

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

94 OLD SHORT HILLS RD STE 1, Livingston, NJ 07039

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Secondary Practice Location 1

Location 1Brookdale Hospital Medical center, 1, brookdale Plazabrooklyn, NY 11212 · Phone (718) 240-5000

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 (PECOS)

Dr. Prabha Sivaprakasam 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 07039 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 14

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

MARCELLA SYMONE GARNER APN

Nurse Practitioner (Family)