Provider Demographics
NPI:1427005255
Name:SIVAPALAN, VEL (MD)
Entity Type:Individual
Prefix:
First Name:VEL
Middle Name:
Last Name:SIVAPALAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:VELAUTHAPILLAI
Other - Middle Name:
Other - Last Name:SIVAPALAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:68 MEYERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1169
Mailing Address - Country:US
Mailing Address - Phone:212-939-2942
Mailing Address - Fax:212-939-2968
Practice Address - Street 1:68 MEYERSVILLE RD
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-1169
Practice Address - Country:US
Practice Address - Phone:212-939-2942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA47419207P00000X
NY169219207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400044915OtherMEDICARE
NY01152414Medicaid
NYA400044915OtherMEDICARE