DR. SHALINI SETHI M.D.
NPI 1861747438
Family Medicine in Cranbury, NJ

Active since July 19, 2012PECOS Enrolled
184 PLAINSBORO RD, CRANBURY, NJ 08512(609) 655-1269 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shalini Sethi M.d. NPPES

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

DR. SHALINI SETHI M.D. (NPI 1861747438) is an individual family medicine provider in Cranbury, New Jersey, licensed in New Jersey (25MA09153500) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861747438
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHALINI SETHICredential: M.D.
Location Address184 PLAINSBORO RDCranbury, NJ 08512-2605
Mailing Address184 Plainsboro RdCranbury, NJ 08512-2605
Sole ProprietorYes
Enumeration DateJuly 19, 2012
Last NPPES UpdateMarch 14, 2013
✔ NPI 1861747438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA09153500
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
184 PLAINSBORO RD, Cranbury, NJ 08512

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shalini Sethi M.d. 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 Reassignments

4

Medicare enrollment records show Shalini Sethi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
907 OAK TREE AVE STE H
South Plainfield, NJ 07080
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group
Urgent Care
731 HIGHWAY 35, UNIT G
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group
Internal Medicine
186 W MARKET ST STE 112-113
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 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 08512 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.

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 Shalini Sethi's NPI number?

The NPI number for Shalini Sethi is 1861747438. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Shalini Sethi located?

Shalini Sethi practices at 184 Plainsboro Rd, Cranbury, NJ 08512. The listed phone number is (609) 655-1269.

What is Shalini Sethi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shalini Sethi enrolled in Medicare?

Yes. Shalini Sethi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shalini Sethi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shalini Sethi reassigns Medicare benefits to 4 organizations: Browne Medical, LLC (South Plainfield, NJ), Central Jersey Urgent Care (Ocean, NJ), All Health Services PC (Newark, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Shalini Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shalini Sethi was last updated on March 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.