Individual provider Active NPI

Stuart L Siepser, MD

  • Cardiovascular Disease Physician
  • Wayne, NJ
National Provider Identifier
1306809314
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
29286 Issued in NJ
Practice address
1777 Hamburg Tpke
Suite 302
Wayne, NJ 07470-5211
Phone
(973) 835-6300
Fax
(973) 835-3761
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29286 NJ
Cardiovascular Disease Physician 207RC0000X 29286 NJ Primary
Nuclear Cardiology Physician 207UN0901X 29286 NJ

Addresses

Primary practice location

1777 Hamburg Tpke
Suite 302
Wayne, NJ 07470-5211

Mailing address

1777 Hamburg Tpke
Suite 302
Wayne, NJ 07470-5211
Phone (973) 835-6300

Other identifiers 1

IdentifierTypeStateIssuer
7726805MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000076 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1355373663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
New York University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Cardiovascular Health Consultants, P.a.Group PAC ID 8325934706, 118 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

97 W Pkwy
Pompton Plains, NJ 07444-1647
Phone (973) 931-5000

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29286NJMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Health Consultants, P.a. CurrentSince Mar 9, 2019 Accepting new patients
Practice Associates Medical Group Internal Medicine CurrentSince Nov 15, 2014 Accepting new patients
Maternal Fetal Medicine of Practice Associates, PA Past Accepting new patients

Locations

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

242 W Parkway
Ste 101
Pompton Plains, NJ 07444

242 W Parkway
Fl 1
Pompton Plains, NJ 07444

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

1777 Hamburg Tpke
Ste 102
Wayne, NJ 07470
Phone (201) 831-9222

Interoperability endpoints

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

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1306809314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE",
            "address_2": "SUITE 302",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705211",
            "telephone_number": "973-835-6300",
            "fax_number": "973-835-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE",
            "address_2": "SUITE 302",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705211",
            "telephone_number": "973-835-6300",
            "fax_number": "973-835-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEPSER",
        "first_name": "STUART",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "29286",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "29286",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "29286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7726805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.