Individual provider Active NPI

Joseph Siragusa, M.D.

  • Psychiatry Physician
  • Woodcliff Lake, NJ
National Provider Identifier
1376957761
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA10116700 Issued in NJ
Practice address
5 Pascack Rd
Woodcliff Lake, NJ 07677-8317
Phone
(914) 424-5702
Fax
(201) 343-4391
NPI assigned
Jun 13, 2014
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA10116700 NJ Primary

Addresses

Primary practice location

5 Pascack Rd
Woodcliff Lake, NJ 07677-8317

Mailing address

5 Pascack Rd
Woodcliff Lake, NJ 07677-8317
Phone (914) 424-5702

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
I20170807002946 NJ Practitioner - Psychiatry 6709154263 Reassigns benefits to 4 organizations
Practice locations: Woodcliff Lake, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Name Primary Care and Specialty Associates PCGroup PAC ID 4082847447, 44 clinicians
Qualpsych CorpGroup PAC ID 2163859083, 2 clinicians

Practice addresses (Care Compare)

354 Old Hook Rd
Suite 102
Westwood, NJ 07675-3247
Phone (201) 358-0400

5 Pascack Rd
Woodcliff Lake, NJ 07677-8317
Phone (914) 424-5702

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10116700NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Name Primary Care and Specialty Associates, PC Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
Christian Health Care Center CurrentSince Aug 6, 2019 Accepting new patients
Christian Health Care Center CurrentSince Apr 10, 2020 Accepting new patients
Qualpsych Corp. Psychiatry CurrentSince Dec 15, 2019 Accepting new patients
Relevance LLC Past Accepting new patients
Holy Name Medical Center Inc. Past Accepting new patients
Calusa Recovery Services, LLC Past Accepting new patients

Locations

185 Cedar Ln
Teaneck, NJ 07666
Phone (201) 836-0888

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

354 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

354 Old Hook Rd
Ste 102
Westwood, NJ 07675
Phone (201) 358-0400

301 Sicomac Ave
Wyckoff, NJ 07481
Phone (201) 848-5200

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1376957761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PASCACK RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778317",
            "telephone_number": "914-424-5702",
            "fax_number": "201-343-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PASCACK RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778317",
            "telephone_number": "914-424-5702",
            "fax_number": "201-343-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAGUSA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10116700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodcliff Lake, NJ

Sources for this page

Verify at the official NPI Registry.