Active NPI
Gerald G Siegel, PH.D.
- Psychologist
- Florham Park, NJ
National Provider Identifier
1154450518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- NJ1155
- Practice address
- 256 Columbia Tpke Ste 102
Florham Park, NJ 07932-1231 - Phone
- (973) 660-0100
- Fax
- (973) 660-0117
- NPI assigned
- Mar 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NJ1155 | NJ | Primary |
Addresses
Primary practice location
256 Columbia Tpke Ste 102
Florham Park, NJ 07932-1231
Mailing address
256 Columbia Tpke Ste 102
Florham Park, NJ 07932-1231
Phone (973) 660-0100
Other practice location 1
33 Main St
Chatham, NJ 07928-2433
Phone (973) 635-6866
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ1155 | NJ | MD | Psychologist |
| 1155 | NJ | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1154450518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 COLUMBIA TPKE STE 102",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321231",
"telephone_number": "973-660-0100",
"fax_number": "973-660-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 COLUMBIA TPKE STE 102",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321231",
"telephone_number": "973-660-0100",
"fax_number": "973-660-0117"
}
],
"practiceLocations": [
{
"address_1": "33 Main St",
"address_purpose": "LOCATION",
"city": "Chatham",
"state": "NJ",
"postal_code": "079282433",
"country_code": "US",
"telephone_number": "973-635-6866",
"fax_number": "973-635-8311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIEGEL",
"first_name": "GERALD",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-03",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "NJ1155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.