Individual provider Active NPI

Julie Ellen Siegel

  • Chiropractor
  • Bayside, NY
National Provider Identifier
1225150808
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008295-1 Issued in NY
Practice address
21418 41St Ave
Bayside, NY 11361-2103
Phone
(718) 352-0223
Fax
(718) 352-6287
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008295-1 NY Primary

Addresses

Primary practice location

21418 41St Ave
Bayside, NY 11361-2103

Mailing address

21418 41St Ave
Bayside, NY 11361-2103
Phone (718) 352-0223

Other names 1

  • Dr. Julie Ellen Syat Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120109000432 NY Practitioner - Chiropractic 0840248068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Alan Siegel and Julie Syat PTRGroup PAC ID 8123076338, 2 clinicians

Practice addresses (Care Compare)

21411 41St Ave
Bayside, NY 11361-2133
Phone (718) 352-0223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008295-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Siegel & Julie Syat PTR Chiropractor CurrentSince Mar 10, 1997 Accepting new patients

Locations

21411 41st Ave
Flushing, NY 11361
Phone (718) 352-0223

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1225150808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21418 41ST AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612103",
            "telephone_number": "718-352-0223",
            "fax_number": "718-352-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21418 41ST AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612103",
            "telephone_number": "718-352-0223",
            "fax_number": "718-352-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "JULIE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008295-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SYAT",
            "middle_name": "ELLEN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.