SHIVA GOPAL VASISHTA (MD) – Neurology Physician, NPI 1932269982

SHIVA GOPAL VASISHTA (MD) is a healthcare provider. based in Voorhees, New Jersey. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 25MA55133 (NJ). The NPI Number for SHIVA GOPAL VASISHTA (MD) is 1932269982

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
SHIVA GOPAL VASISHTA (MD)
NPI
1932269982
Phone
Not provided
Address
2301 EVESHAM ROAD
Enumeration Date
11 December 2006
Last Update Date
28 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6097041857
Graduation Year
1984 (42 years ago)
PAC ID
2264690320
Group Practice PAC ID
0749236818
Professional Enrollment ID
I20120221000017
Address ID
NJ080434509VO2301XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

714 NEUROLOGY in NJ

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Provider Addresses for SHIVA GOPAL VASISHTA (MD)

  • East Evesham Road, Rainwood, Voorhees Township, Camden County, New Jersey, 08043, United States

    PAVILION 800 SUITE 209

    VOORHEES, NJ 08043

    Phone:

    Mailing address matches the actual address.

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: 2012-02-21

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
I20120221000017INeurologyNJTBD

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 08043)

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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: 0749236818View full group profile
NameSpecialtyState
Neurology, PsychiatryNJ
Physical Medicine And RehabilitationNJ
Clinical PsychologistNY
Clinical PsychologistNJ
Qualified Speech Language PathologistNJ
-NJ
N E U R O L O G YDE
Physician AssistantNJ
Physician AssistantNJ

Reviews

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Frequently asked questions

What unique ID ties claims to SHIVA GOPAL VASISHTA (MD)?
NPI 1932269982 is assigned to SHIVA GOPAL VASISHTA (MD) under the national enumeration system.
Is SHIVA GOPAL VASISHTA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SHIVA GOPAL VASISHTA (MD) list a primary specialty?
If you are matching referrals, note Neurology Physician for SHIVA GOPAL VASISHTA (MD). Clinical services aligned with this taxonomy classification.
Does SHIVA GOPAL VASISHTA (MD) practice in New Jersey?
You will see Voorhees, New Jersey on file for SHIVA GOPAL VASISHTA (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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