NPIMap

Organization Active NPI

Leonard Siskin, P.a.

Doing business as Siskin Family Chiropractic

  • Chiropractor
  • Green Brook, NJ
National Provider Identifier
1184828428
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LEONARD SISKIN, P.A.
Doing business as
Siskin Family Chiropractic
Practice address
326 US Highway 22
Suite 6B
Green Brook, NJ 08812-1756
Phone
(732) 752-6606
Fax
(732) 752-6643
NPI assigned
Jun 12, 2007
Last updated
Sep 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Dr. Leonard Siskin, D.C.NPI 1538132766
Title
President
Phone
(732) 752-6606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

326 US Highway 22
Suite 6B
Green Brook, NJ 08812-1756

Mailing address

326 US Highway 22
Suite 6B
Green Brook, NJ 08812-1756
Phone (732) 752-6606

Other names 1

  • Siskin Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000189 NJ Part B Supplier - Clinic/Group Practice 8820043383 Receives reassigned benefits from 1 practitioner
Practice locations: Green Brook, NJ

National Provider Directory

National Provider Directory
Tax ID family
Leonard Siskin PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1184828428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 US HIGHWAY 22",
            "address_2": "SUITE 6B",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121756",
            "telephone_number": "732-752-6606",
            "fax_number": "732-752-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 US HIGHWAY 22",
            "address_2": "SUITE 6B",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121756",
            "telephone_number": "732-752-6606",
            "fax_number": "732-752-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD SISKIN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "SISKIN",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-752-6606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siskin Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.