DR. ANJALI SIVENDRA (MD) – Family Medicine Physician, NPI 1043960388

DR. ANJALI SIVENDRA (MD) is a healthcare provider. based in Verona, New Jersey. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 25MA12836000 (NJ). The NPI Number for DR. ANJALI SIVENDRA (MD) is 1043960388

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANJALI SIVENDRA (MD)
NPI
1043960388
Phone
(973) 239-2600
Address
271 Grove Ave Ste A
Enumeration Date
28 March 2022
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
COOPER MEDICAL SCHOOL OF ROWAN UNIVERSITY
Secondary Phone
9732392600
Graduation Year
2022 (4 years ago)
PAC ID
2062900533
Group Practice PAC ID
5092751842
Professional Enrollment ID
I20251024003673
Address ID
NJ070441731VE271XXAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,515 FAMILY PRACTICE in NJ

Provider Addresses for DR. ANJALI SIVENDRA (MD)

  • 271 Grove Ave Ste A

    Verona, NJ 070441731

    Phone: (973) 239-2600

    Fax: (833) 495-1921

    Type: Location

  • 99 BEAUVOIR AVE

    SUMMIT, NJ 079013533

    Phone: (908) 522-2000

    Type: Mailing

  • 271 GROVE AVE STE E

    VERONA, NJ 070441730

    Phone: (973) 559-3700

    Fax: (833) 484-1686

    Type: Mailing

  • 127 MONTGOMERY ST

    JERSEY CITY, NJ 073023616

    Phone: (201) 431-7200

    Fax: (833) 488-1215

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251024003673IFamily PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07044)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092751842View full group profile
NameSpecialtyState
Family PracticeNJ
Allergy/Immunology, Pediatric MedicineNJ
Family PracticeNJ
Nurse PractitionerNJ
Physician AssistantNJ
Family PracticeNJ
Nurse PractitionerNJ
Physician AssistantNJ
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What identifier follows DR. ANJALI SIVENDRA (MD) across health systems?
The NPI 1043960388 uniquely identifies DR. ANJALI SIVENDRA (MD) in U.S. healthcare data.
Does the public listing show DR. ANJALI SIVENDRA (MD) as active?
DR. ANJALI SIVENDRA (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. ANJALI SIVENDRA (MD)'s listing?
DR. ANJALI SIVENDRA (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ANJALI SIVENDRA (MD)?
DR. ANJALI SIVENDRA (MD) shows a connection to Verona, New Jersey in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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