Active NPI
Hervey Silas Sicherman, MD
- Orthopaedic Surgery Physician
- Wayne, NJ
National Provider Identifier
1083713853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MA025939
- Practice address
- 1777 Hamburg Tpke
Suite 301
Wayne, NJ 07470 - Phone
- (973) 839-5700
- Fax
- (973) 616-4343
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25MA02593900 | NJ | |
| Orthopaedic Surgery Physician | 207X00000X | MA025939 | NJ | Primary |
Addresses
Primary practice location
1777 Hamburg Tpke
Suite 301
Wayne, NJ 07470
Mailing address
1777 Hamburg Tpke
Suite 301
Wayne, NJ 07470
Phone (973) 839-5700
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1074689 | Other | NJ | HORIZON |
| 9661480 | Other | NJ | GHI |
| 4159 | Other | NJ | LOCAL 825 |
| 223338995 | Other | TAX ID | |
| PS166 | Other | NJ | OXFORD |
| 0504225 | Other | NJ | AETNA |
| 110340 | Other | NJ | BEECHSTREET |
| 578951 | Other | NJ | EMPIRE |
| 71602001 | Other | NJ | ONE HEALTH PLAN |
| 746693 | Other | NJ | FIRST HEALTH |
| 10316586 | Other | NJ | MAGNACARE |
| 1074689 | Other | NJ | ANTHEM |
| 20019245 | Other | NJ | RAILROAD MEDICARE |
| 22011051 | Other | NJ | ECS |
| 4159 | Other | NJ | OPERATING LOCAK |
| 077148403 | Other | NJ | CIGNA |
| 0K0489 | Other | NJ | HEALTHNET |
| 967203 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA025939 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopaedic Associates of North Jersey LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1777 Hamburg Tpke
Ste 301
Wayne, NJ 07470
Phone (973) 839-5700
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Franklin Lakes, NJ
- NPI 1023583218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1083713853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 HAMBURG TPKE",
"address_2": "SUITE 301",
"city": "WAYNE",
"state": "NJ",
"postal_code": "07470",
"telephone_number": "973-839-5700",
"fax_number": "973-616-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 HAMBURG TPKE",
"address_2": "SUITE 301",
"city": "WAYNE",
"state": "NJ",
"postal_code": "07470",
"telephone_number": "973-839-5700",
"fax_number": "973-616-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICHERMAN",
"first_name": "HERVEY",
"middle_name": "SILAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MA02593900",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "MA025939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "1074689",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9661480",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOCAL 825",
"identifier": "4159",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "223338995",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "PS166",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0504225",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECHSTREET",
"identifier": "110340",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "578951",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "71602001",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "746693",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "10316586",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1074689",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "20019245",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECS",
"identifier": "22011051",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPERATING LOCAK",
"identifier": "4159",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "077148403",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0K0489",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "967203",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.