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

Mithun Sivadasan

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1912351594

Mithun Sivadasan is a Podiatry in Middletown, New Jersey. Graduated from Temple University School of Podiatric Medicine in 2016, 10 years ago. Practices with Middletown Foot and Ankle LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
10
Trained at
Temple University School of Podiatric Medicine
Licensed in
CT
In the registry since
2016

Practice location Address checks out

1270 State Route 35 Ste 1
Middletown, NJ 07748-2038
Phone: (732) 790-5599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 1047 (CT)

Record details

NPI number1912351594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2016
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address1270 State Route 35 Ste 1, Middletown, NJ 07748-2038

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Middletown Foot And Ankle Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Middletown