NPIMap

Individual provider Active NPI

Bonita Hazel Siegel, M.D.

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1245268093
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD051622L Issued in PA
Practice address
210 Saint James PL
Brooklyn, NY 11238-2302
Phone
(718) 857-2716
Fax
(718) 374-5346
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD051622L PA Primary

Addresses

Primary practice location

210 Saint James PL
Brooklyn, NY 11238-2302

Mailing address

210 Saint James PL
Brooklyn, NY 11238-2302
Phone (718) 857-2716

Other identifiers 1

IdentifierTypeStateIssuer
001719257MedicaidPA

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD051622LPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuromonitoring Services of America, Inc Neurology Past Accepting new patients
Sentient Physicians, P.C. Neurology Past Accepting new patients
Neuro Iom Services Inc Neurology Past Accepting new patients
Surgical Monitoring Services, LLC Neurology Past Accepting new patients
PRN Read, P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1245268093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SAINT JAMES PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382302",
            "telephone_number": "718-857-2716",
            "fax_number": "718-374-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SAINT JAMES PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382302",
            "telephone_number": "718-857-2716",
            "fax_number": "718-374-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "BONITA",
        "middle_name": "HAZEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD051622L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001719257",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.