Gary D Siegel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R037322 Issued in NY

Practice address

35 Sutton Dr
Manalapan, NJ 07726-8717

Phone

(732) 614-3847

NPI assigned

Apr 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Project Hospitality, Inc.

  • Case Management Agency
  • Staten Island, NY
  • NPI 1598882284
  Medicare reassignment NPD
• Project Hospitality Inc.

  • Community/Behavioral Health Agency
  • Staten Island, NY
  • NPI 1356468540
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1194968206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SUTTON DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268717",
            "telephone_number": "732-614-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SUTTON DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268717",
            "telephone_number": "732-614-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "GARY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R037322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natana Shteynvarts, FNP
• Dana Shukan, MA, CCC-SLP
• Ben Shutman, LAC
• Aleesa Sickels, RBT
• Amtul Siddiqui, DMD
• Nikita Sifonios, RPH
• Lisa M Silbret, MD
• Mary Margaret Sillup, ED.S., LMFT
• Alex Silman, DDS
• Inna Silman, DDS

• Clinical Social Worker in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.