Active NPI
Jonathan H Siegal
- Emergency Medicine Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2390621
- Practice address
- 5645 Main St
Flushing, NY 11355-5045 - Phone
- (718) 670-1426
- NPI assigned
- May 11, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2390621 | NY | Primary |
Addresses
Primary practice location
5645 Main St
Flushing, NY 11355-5045
Mailing address
325 Chestnut Dr
Roslyn, NY 11576-2341
Phone (646) 342-3426
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | a | Direct | NYP Queens |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000
Hospital & facility affiliations
- Brooklyn Hospital Center - Downtown Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2390621 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Emergency Medicine | Current | Accepting new patients |
| Queens Emergency Medical Associates PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Our Lady of Mercy Medical Center | Emergency Medicine | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
Interoperability endpoints
- jos9186@direct.nyp.org
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
-
- Emergency Medicine Physician
- Flushing, NY
- NPI 1407269186
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Bronx, NY
- NPI 1669412847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1386859577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 CHESTNUT DR",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115762341",
"telephone_number": "646-342-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-670-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGAL",
"first_name": "JONATHAN",
"middle_name": "H",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "2390621",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "a",
"affiliation": "Y",
"endpointDescription": "a",
"affiliationName": "NYP Queens",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "NYP Queens",
"address_2": "56-45 Main Street",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "11576",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.