Individual provider Active NPI

Richard Steven Siegel, M.D.

  • Orthopaedic Surgery Physician
  • Warren, NJ
National Provider Identifier
1194990960
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA02289800 Issued in NJ
Practice address
17 Betsy Ross Dr
Warren, NJ 07059-3000
Phone
(201) 289-7585
Fax
(732) 234-6787
NPI assigned
Apr 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA02289800 NJ Primary

Addresses

Primary practice location

17 Betsy Ross Dr
Warren, NJ 07059-3000

Mailing address

17 Betsy Ross Dr
Warren, NJ 07059-3000
Phone (201) 289-7585

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
I20151111000754 NJ Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 4587974167

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1194990960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BETSY ROSS DR",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070593000",
            "telephone_number": "201-289-7585",
            "fax_number": "732-234-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BETSY ROSS DR",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070593000",
            "telephone_number": "201-289-7585",
            "fax_number": "732-234-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "RICHARD",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA02289800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.