Sinisa Ivelja, MD - Medicare Pathology in Edison, NJ

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Sinisa Ivelja, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Edison, New Jersey. He graduated from medical school in 1998 and has 28 years of diverse experience with area of expertise as Pathology. He is a member of the group practice New York University, Hackensack Meridian Health Medical Group - Specialty Care Pc, New York University and his current practice location is 122 James St, Edison, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 243-9694.

Sinisa Ivelja is licensed to practice in New Jersey (license number 25MA09241200) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205070471.

Contact Information

Sinisa Ivelja, MD
122 James St,
Edison, NJ 08820-3945
(732) 243-9694
Not Available

Map and Direction




Physician's Profile

Full NameSinisa Ivelja
GenderMale
SpecialityPathology
Experience28 Years
Location122 James St, Edison, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sinisa Ivelja graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1205070471
  • Provider Enumeration Date: 04/30/2009
  • Last Update Date: 09/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941521355
  • Enrollment ID: I20150610000354

Medical Identifiers

Medical identifiers for Sinisa Ivelja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205070471NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZH0000XPathology - Hematology 25MA09241200 (New Jersey)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 25MA09241200 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Nyu Langone HospitalsNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York University13552324225925
Hackensack Meridian Health Medical Group - Specialty Care Pc91330325191901
New York University13552324225925

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. Sinisa Ivelja allows following entities to bill medicare on his behalf.
Entity NameHackensack Meridian Health Medical Group - Specialty Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124078373
PECOS PAC ID: 1355232422
Enrollment ID: O20081106000106
Entity NameNJ Gastro, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851525661
PECOS PAC ID: 7911058169
Enrollment ID: O20090629000197
Entity NameKailash Singhvi MD PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538435490
PECOS PAC ID: 7517121668
Enrollment ID: O20120621000205
Entity NameEast Brunswick Endoscopy Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144779133
PECOS PAC ID: 7719308501
Enrollment ID: O20200603001273

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. Sinisa Ivelja 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
Sinisa Ivelja, MD
331 Newman Springs Rd Ste 220,
Red Bank, NJ 07701-5792

Ph: (732) 807-0877		Sinisa Ivelja, MD
122 James St,
Edison, NJ 08820-3945

Ph: (732) 243-9694

Reviews and Comments


Pathology Doctors in Edison, NJ

Victor Casas, M.D.
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Phone: 732-321-7680    Fax: 732-321-7008
James David Bentley, M.D.
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Hazel H Kim, M.D.
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Reema Jaffar, M.D.
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Dr. Hua Zhong, M.D., PH.D.
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Phone: 732-321-7680    Fax: 732-321-7008
Dr. Jianxiong Richard Bao, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 300 Columbus Cir Ste A, Edison, NJ 08837
Phone: 866-909-7284    Fax: 908-272-1478
Clinton Alexander Ewing, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 65 James St, Edison, NJ 08820
Phone: 732-321-7680    Fax: 732-321-7008

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.