Michele Robyn Segal, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA07768500 Issued in NJ

Practice address

187 Washington Ave
Suite 2D
Nutley, NJ 07110-3935

Phone

(973) 235-9449

Fax

(973) 235-0434

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1316084189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 WASHINGTON AVE",
            "address_2": "SUITE 2D",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103935",
            "telephone_number": "973-235-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 WASHINGTON AVE",
            "address_2": "SUITE 2D",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103935",
            "telephone_number": "973-235-9449",
            "fax_number": "973-235-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "MICHELE",
        "middle_name": "ROBYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA07768500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William James Schilkie, D.M.D.
• Schultz Family Eye Care, LLC
• Scott R. Schultz, O.D.
• Spencer Elliot Schwartz, DMD
• Mitchel Schwartzbach, D.D.S.
• Skyler Segal, LSW
• Steven T Sekiya, DO
• Self Employed
• Sensory Speech and Socialization Associates
• Hari Om Sharma, MD

• Pediatric Adolescent Medicine Physician in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.