Active NPI
Robert William Siroka, PH.D.
- Counseling Psychologist
- Plainsboro, NJ
National Provider Identifier
1265564082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- S100957
- Practice address
- 501 Plainsboro Rd
Plainsboro, NJ 08536-2070 - Phone
- (215) 297-8876
- Fax
- (212) 594-1213
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | S100957 | NJ | Primary |
Addresses
Primary practice location
501 Plainsboro Rd
Plainsboro, NJ 08536-2070
Mailing address
501 Plainsboro Rd
Plainsboro, NJ 08536-2070
Phone (215) 297-8876
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S100957 | NJ | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265564082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 PLAINSBORO RD",
"city": "PLAINSBORO",
"state": "NJ",
"postal_code": "085362070",
"telephone_number": "215-297-8876",
"fax_number": "212-594-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 PLAINSBORO RD",
"city": "PLAINSBORO",
"state": "NJ",
"postal_code": "085362070",
"telephone_number": "215-297-8876",
"fax_number": "212-594-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIROKA",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NJ",
"license": "S100957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainsboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.