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DR. PRABHA SIVAPRAKASAM
NPI 1780170209
Pediatrics in Livingston, NJ

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: October 25, 2026.

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

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, 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 (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.

Medicare Billing Reassignment

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

Barnabas Health Medical Group PC
8.7 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123

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 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)
94 OLD SHORT HILLS RD STE 1
LIVINGSTON, NJ 07039
Essex County (973) 322-5100
BORIS G KOUANANG CRNA
Nurse Anesthetist, Certified Registered
94 OLD SHORT HILLS RD STE 1
LIVINGSTON, NJ 07039
Essex County (973) 322-5000
MS. ALEXANDRA N SIGONA MA, MS, PA-C
Physician Assistant
94 OLD SHORT HILLS RD STE 1
LIVINGSTON, NJ 07039
Essex County (973) 322-5000
BRITTNEY ALEXIS BARBIERI MD
Emergency Medicine
94 OLD SHORT HILLS RD STE 1
LIVINGSTON, NJ 07039
Essex County (201) 723-5107
DR. ZHOU ZHANG M.D.
Emergency Medicine
94 OLD SHORT HILLS RD STE 1
LIVINGSTON, NJ 07039
Essex County (609) 513-2328
LAUREN K RANDOLPH APRN
Nurse Practitioner (Family)
94 OLD SHORT HILLS RD STE 1
LIVINGSTON, NJ 07039
Essex County (973) 902-2956
MS. MICHELLE HILDI MILLMAN PAC
Physician Assistant
94 OLD SHORT HILLS RD STE 1
LIVINGSTON, NJ 07039
Essex County (973) 322-5000
AURORA DIMARCO PA
Physician Assistant
94 OLD SHORT HILLS RD STE 1
LIVINGSTON, NJ 07039
Essex County (973) 322-5000

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 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.

Where is Prabha Sivaprakasam located?

Prabha Sivaprakasam practices at 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039. The listed phone number is (973) 322-5000.

What is Prabha Sivaprakasam's specialty?

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

Is Prabha Sivaprakasam enrolled in Medicare?

Yes. Prabha Sivaprakasam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prabha Sivaprakasam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prabha Sivaprakasam reassigns Medicare benefits to Barnabas Health Medical Group PC (Elizabeth, NJ). The 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 Prabha Sivaprakasam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prabha Sivaprakasam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Prabha Sivaprakasam 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 Prabha Sivaprakasam was last updated on July 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.