Shilpy Setya, MD - Medicare Pediatrics in Livingston, NJ

Shilpy Setya, MD is a medicare enrolled "Pediatrics" physician in Livingston, New Jersey. Her current practice location is 94 Old Short Hills Rd Rm 4143a, Livingston, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 322-5690.

Shilpy Setya is licensed to practice in New Jersey (license number 25MA08785700) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013109925.

Contact Information

Shilpy Setya, MD
94 Old Short Hills Rd Rm 4143a,
Livingston, NJ 07039-5672
(973) 322-5690
Not Available

Map and Direction




Physician's Profile

Full NameShilpy Setya
GenderFemale
SpecialityPediatrics
Location94 Old Short Hills Rd Rm 4143a, Livingston, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013109925
  • Provider Enumeration Date: 08/14/2007
  • Last Update Date: 03/23/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8022281823
  • Enrollment ID: I20111021000471

Medical Identifiers

Medical identifiers for Shilpy Setya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013109925NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25MA08785700 (New Jersey)Primary
208000000XPediatrics 626888 (New York)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shilpy Setya allows following entities to bill medicare on her behalf.
Entity NameSaint Barnabas Multi Specialty
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780632992
PECOS PAC ID: 3072500727
Enrollment ID: O20040427000024

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shilpy Setya is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shilpy Setya, MD
5 Springfield Ct,
Parsippany, NJ 07054-2943

Ph: (973) 580-8272
Shilpy Setya, MD
94 Old Short Hills Rd Rm 4143a,
Livingston, NJ 07039-5672

Ph: (973) 322-5690

Reviews and Comments


Pediatrics Doctors in Livingston, NJ

Barbara Mcdevitt, MD
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Medicare: Medicare Enrolled
Practice Location: 75 E Northfield Rd, Livingston, NJ 07039
Phone: 973-436-1540    Fax: 973-533-0197
Dr. Jennifer Nicole Sivitz, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 75 E Northfield Rd, Livingston, NJ 07039
Phone: 973-436-1450    Fax: 908-964-5718
Geethanjali Lingasubramanian, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039
Phone: 973-322-2916    
James Pang, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 94 Old Short Hills Rd Ofc, Livingston, NJ 07039
Phone: 973-322-5000    
Richard Lander, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 203 Hillside Ave, Livingston, NJ 07039
Phone: 973-992-5588    
Dr. Jeanne A. Craft, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 94 Old Short Hills Rd, Pediatric Intensive Care Unit, Livingston, NJ 07039
Phone: 973-322-2322    Fax: 973-322-5504

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.