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Ironbound Newark Medical PC

Internal Medicine Physician in Newark, NJ · enumerated 2023 · authorized official Shan Sivendra, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1598464117

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Registry record

Entity type Organization (Type 2)
Legal business name Ironbound Newark Medical PC
Practice address 332 Ferry St, Newark, NJ, 07105
Fax (973) 589-6225
Enumeration date Mar 2, 2023
Last updated in NPPES Mar 2, 2023

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Shan Sivendra
Title Owner

Other identifiers

Identifier Type State Issuer
8222801 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Ironbound Newark Medical PC?
NPPES lists Shan Sivendra (Owner) as the authorized official for this organization.
What is the NPI number for Ironbound Newark Medical PC?
The NPI for Ironbound Newark Medical PC is 1598464117, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-02.