Kannan Sivaraju (NPI# 1659508687, PAC ID# 1254524655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1659508687 |
| PAC ID by PECOS | 1254524655 |
| Professional Enrollment ID | I20110418000682 |
| Full Name | Kannan Sivaraju |
| Organization Legal Name | VANGUARD MEDICAL GROUP PA |
| Address |
271 Grove Ave Suite A Verona NJ 07044-1731 |
| Phone Number | 9732392600 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE, INTERNAL MEDICINE, OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 5092751842 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310009 | CLARA MAASS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 271 Grove Ave, Suite A, Verona, NJ 07044-1731 | 9732392600 | VANGUARD MEDICAL GROUP PA |
| Organization Legal Name | VANGUARD MEDICAL GROUP PA |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Coelho | Physician Assistant | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Pareen Lapsiwala | Family Medicine | Vanguard Medical Group Pa | 61 Beaverbrook Rd, Suite 301, Lincoln Park, NJ 07035-1750 |
| Adrienne Lynn Salerno | Family Medicine | Vanguard Medical Group Pa | 535 High Mountain Rd, Suite 111, North Haledon, NJ 07508-2652 |
| Kennedy Palwasha Daftani | Family Medicine | Vanguard Medical Group Pa | 200 Highland Ave, Glen Ridge, NJ 07028-1528 |
| Debora K Geller | Allergy/immunology | Vanguard Medical Group Pa | 570 S Ave E, Building G Unit A, Cranford, NJ 07016-3200 |
| Sally A Mravcak | Family Medicine | Vanguard Medical Group Pa | 127 Montgomery St, Jersey City, NJ 07302-3616 |
| Anna Chung | Physician Assistant | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Lauren Ashley Royce | Physician Assistant | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Simone Alicia Douge | Hospice/palliative Care | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Lora Mchale | Physician Assistant | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Street Address |
271 GROVE AVE SUITE A |
| City | VERONA |
| State | NJ |
| Zip | 07044-1731 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Coelho | Physician Assistant | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Anna Chung | Physician Assistant | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Lauren Ashley Royce | Physician Assistant | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Simone Alicia Douge | Hospice/palliative Care | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Jung Chul Park | Physical Therapy | Pursue Physical Therapy and Performance Training | 271 Grove Ave, Suite C, Verona, NJ 07044-1729 |
| Lora Mchale | Physician Assistant | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Alan D Furst | Family Medicine | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Andrew P Gilmartin | Internal Medicine | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Robert T Gorman | Family Medicine | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Laura D Tobin | Nurse Practitioner | Vanguard Medical Group Pa | 271 Grove Ave, Suite A, Verona, NJ 07044-1731 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell I Karmel | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 12 Oakridge Rd, Verona, NJ 07044-1116 |
| Gabrielle Nitti | Optometry | 825 Bloomfield Ave, Suite 201, Verona, NJ 07044-1300 | |
| Paul J Loverme | Plastic and Reconstructive Surgery | 825 Bloomfield Ave, Suite 205, Verona, NJ 07044-1300 | |
| Kyle Bensinger | Optometry | Eye Surgeons and Physicians, Pa | 799 Bloomfield Ave, Suite 100, Verona, NJ 07044-1301 |
| Kristina E Hicks | Physical Medicine and Rehabilitation | North Atlantic Pain and Rehab Associates, LLC | 799 Bloomfield Ave, Suite 303, Verona, NJ 07044-1301 |
| Oleg Shulik | Gastroenterology | Mpv New Jersey Md Services PC | 799 Bloomfield Ave, Suite 102, Verona, NJ 07044-1301 |
| Daniel D Manzi | Gastroenterology | 799 Bloomfield Ave, Suite 102, Verona, NJ 07044-1301 | |
| Rohit Keswani | Physical Medicine and Rehabilitation | North Atlantic Pain and Rehab Associates, LLC | 799 Bloomfield Ave, Suite 303, Verona, NJ 07044-1301 |
| Judith M Zwer | Nurse Practitioner | Humc Cardiovascular Partners, P.C. | 799 Bloomfield Ave, Suite 112, Verona, NJ 07044-1301 |
| Dennis A Tobia | Gastroenterology | Dennis A Tobia Md Pa | 799 Bloomfield Ave, Suite 102, Verona, NJ 07044-1301 |
| Find all physicians in zip 07044 | |||
| City | VERONA |
| Zip Code | 07044 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VERONA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kannan Sivaraju.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.