Active NPIIndividual providerSole proprietor

Mithun Sivadasan

Podiatrist, Foot & Ankle Surgery in Middletown, New Jersey

NPI Number1912351594
Practice location
1650 State Route 35 Ste 4, Middletown, NJ 07748-1865
Fax
—
Last updated
August 19, 2026

Mithun Sivadasan is a Podiatrist, Foot & Ankle Surgery based in Middletown, NJ. Mithun Sivadasan practices in Middletown, NJ. The NPI Number for Mithun Sivadasan is 1912351594 and holds a License No. 25MD00362600 (NJ). The current practice location address for Mithun Sivadasan is 1650 State Route 35 Ste 4, Middletown, NJ 07748-1865 and can be reached out via phone at 732-790-5599.

Provider Profile Details

NPI Number
1912351594
Provider Name
Mithun Sivadasan
Provider Entity Type
Individual
Gender
Male
Address
1650 State Route 35 Ste 4, Middletown, NJ 07748-1865
Phone Number
732-790-5599
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
April 20, 2016
Last Update Date
August 19, 2026
Certification Date
August 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1650 State Route 35 Ste 4
Middletown, NJ 07748-1865
Zip
07748-1865
Phone Number
732-790-5599
Middletown, NJ 07748Get directions →

Provider Business Mailing Address Details

Address
1650 State Route 35 Ste 4
Middletown, NJ 07748-1865
City
Middletown
State
NJ
Zip
07748-1865
Phone Number
732-790-5599

License Information

License Number
25MD00362600
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mithun Sivadasan?

The NPI number of Mithun Sivadasan is 1912351594. It was assigned on April 20, 2016 and is currently active in the NPPES registry.

What is the specialty of Mithun Sivadasan?

Mithun Sivadasan is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00362600.

Where does Mithun Sivadasan practice?

The practice location is 1650 State Route 35 Ste 4, Middletown, NJ 07748-1865. The office can be reached at 732-790-5599 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912351594 directly on the NPPES registry website.

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