Prospect Medical PC
NPI 1346365905ActiveOrganization· Internal Medicine· Hackensack, NJ
Internal Medicine in Hackensack, New Jersey, registered in NPPES in March 2007. The authorized official on file is Shan Sivendra, M.D., President. Enrolled in Medicare as dme supplier - multi-specialty - physician and part b supplier - clinic/group practice.
Overview
| NPI | 1346365905 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2007 |
| Last updated in NPPES | Aug 1, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 25MA06930200 | NJ |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Multi-Specialty - Physician (NJ); Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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