Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shan Sivendra, MD

Individual provider Internal Medicine Physician · NPI 1538154307

Dr. Shan Sivendra, MD is an Internal Medicine in Livingston, New Jersey. Qualified in 1989, 37 years ago. Practices with Back and Body Medical Care, PC, a 3-clinician group. Licensed in New Jersey.

Years since qualifying
37
Licensed in
NJ
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone: (201) 322-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA06930200 (NJ)
General Practice Physician Taxonomy 208D00000X · Licence 25MA06930200 (NJ)

Record details

NPI number1538154307
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 16, 2005
Last updated in NPPESFebruary 22, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Back And Body Medical Care, P.C. — 3 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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