Individual provider Active NPI

Michael J Sisack, M.D.

  • Dermatology Physician
  • Flemington, NJ
National Provider Identifier
1073552576
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA06942100 Issued in NJ
Practice address
63 Church St
Flemington, NJ 08822-2197
Phone
(908) 237-4124
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA06942100 NJ Primary

Addresses

Primary practice location

63 Church St
Flemington, NJ 08822-2197

Mailing address

215 State Route 31 RM 116
Flemington, NJ 08822-5752
Phone (908) 284-1125

Other practice location 1

1100 Wescott Dr
Suite G-1
Flemington, NJ 08822-4673
Phone (908) 237-6909

Other practice location 2

6 Club House Dr Ste 201
Washington, NJ 07882-2213
Phone (908) 237-4124

Other identifiers 1

IdentifierTypeStateIssuer
PENDING FOR NJOtherNJMEDICARE ID TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110225000409 NJ Practitioner - Dermatology 3072794981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Specialty CareGroup PAC ID 4587966601, 94 clinicians

Practice addresses (Care Compare)

1 Wescott Dr
Suite 101
Flemington, NJ 08822-4655
Phone (908) 237-4105

121 Route 31
Flemington, NJ 08822-5755

1251 Route 22
Bridgewater, NJ 08807-2916
Phone (908) 237-4108

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (908) 284-1125

72 Alexander Ave
Suite 201
Lambertville, NJ 08530-2200
Phone (908) 237-4124

Hospital & facility affiliations

  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
79.98
Promoting interoperability
97
Improvement activities
40
Cost
72.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions673
Removal of nail tissue1-10
Removal or shaving of skin growth15
Skin biopsy276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Yardley Dermatology Associates, P.C. Dermatology Current Accepting new patients
Hunterdon Specialty Care PC CurrentSince Jan 1, 2016 Accepting new patients
Hunterdon Specialty Care CurrentSince Jan 1, 2016 Accepting new patients
Yardley Dermatology Associates Dermatology Current Accepting new patients
Hunterdon Specialty Care, PC Dermatology Past Accepting new patients
Hunterdon Specialty Care, PC Past Accepting new patients

Locations

1251 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4108

63 Church St
Flemington, NJ 08822
Phone (908) 237-4036

1 Wescott Dr
Ste 101
Flemington, NJ 08822
Phone (908) 237-0940

121 State Route 31
Ste 1200
Flemington, NJ 08822
Phone (908) 782-0019

215 State Route 31
#116
Flemington, NJ 08822

63 Church St
Ste 102
Flemington, NJ 08822
Phone (908) 237-4130

6 Club House Dr
Ste 201
Washington, NJ 07882
Phone (908) 237-4124

903 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 579-6155

Interoperability endpoints

  • Direct secure messaging: michael.sisack.p42@direct.hunterdon.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1073552576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 STATE ROUTE 31 RM 116",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225752",
            "telephone_number": "908-284-1125",
            "fax_number": "908-284-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CHURCH ST",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088222197",
            "telephone_number": "908-237-4124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Wescott Dr",
            "address_2": "Suite G-1",
            "address_purpose": "LOCATION",
            "city": "Flemington",
            "state": "NJ",
            "postal_code": "088224673",
            "country_code": "US",
            "telephone_number": "908-237-6909",
            "fax_number": "908-237-6929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Club House Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NJ",
            "postal_code": "078822213",
            "country_code": "US",
            "telephone_number": "908-237-4124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISACK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA06942100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "PENDING FOR NJ",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.