Active NPI
John Siliquini Sr., M.D.
- Ophthalmology Physician
- Philadelphia, PA
National Provider Identifier
1225025299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD027938L
- Practice address
- 9126 Blue Grass Rd
Philadelphia, PA 19114-3202 - Phone
- (215) 331-0992
- Fax
- (215) 338-0167
- NPI assigned
- Oct 4, 2005
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD027938L | PA | Primary |
Addresses
Primary practice location
9126 Blue Grass Rd
Philadelphia, PA 19114-3202
Mailing address
50 Welsh Rd
Huntingdon Valley, PA 19006-6746
Phone (215) 331-8436
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3633763 | Other | PA | AETNA INDIVIDUAL ID |
| 1277626 | Other | PA | CIGNA INDIVIDUAL ID |
| P00143982 | Other | PA | RR MEDICARE INDIVIDUAL |
| 000647959 | Medicaid | PA | |
| 0053391000 | Other | PA | IBC INDIVIDUAL ID |
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 |
|---|---|---|---|
| MD027938L | PA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1225025299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 WELSH RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190066746",
"telephone_number": "215-331-8436",
"fax_number": "215-338-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9126 BLUE GRASS RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191143202",
"telephone_number": "215-331-0992",
"fax_number": "215-338-0167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILIQUINI",
"first_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD027938L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INDIVIDUAL ID",
"identifier": "3633763",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INDIVIDUAL ID",
"identifier": "1277626",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL",
"identifier": "P00143982",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000647959",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC INDIVIDUAL ID",
"identifier": "0053391000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.