Individual provider Active NPI

Meghan A Siverson

  • Family Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1255159489
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15162500 Issued in NJ
Practice address
182 South St
Morristown, NJ 07960-5377
Phone
(973) 267-0300
NPI assigned
Sep 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15162500 NJ Primary

Addresses

Primary practice location

182 South St
Morristown, NJ 07960-5377

Mailing address

44 Knollwood Rd
Morristown, NJ 07960-5949
Phone (973) 270-3323

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101001057 NJ Practitioner - Nurse Practitioner 3173056892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Dermatologists and Dermatologic Surgeons, P.a.Group PAC ID 2961305065, 14 clinicians
Epiphany Dermatology of New Jersey LLCGroup PAC ID 7214406305, 11 clinicians

Practice addresses (Care Compare)

182 S St
Suite 1
Morristown, NJ 07960-5350
Phone 9732670301117

400 Valley Rd
Suite 100
Mt Arlington, NJ 07856-2316
Phone (973) 267-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Dermatologists and Dermatologic Surgeons, P.a. CurrentSince Oct 1, 2024 Accepting new patients
Epiphany Dermatology of New Jersey LLC CurrentSince Mar 23, 2026 Accepting new patients

Locations

182 South St
Ste 1
Morristown, NJ 07960
Phone (973) 267-0300

182 South St
Morristown, NJ 07960
Phone (973) 267-0300

400 Valley Rd
Ste 100
Mt Arlington, NJ 07856
Phone (973) 267-0300

Interoperability endpoints

  • Direct secure messaging: meghan.siverson@affiliateddermatologists.chartmakerdirect.com

Organizations & group practices 2

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": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1255159489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 KNOLLWOOD RD",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605949",
            "telephone_number": "973-270-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SOUTH ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605377",
            "telephone_number": "973-267-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVERSON",
        "first_name": "MEGHAN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15162500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.