Individual provider Active NPI

Amy Michele Siegel, M.D.

  • Obstetrics & Gynecology Physician
  • Paramus, NJ
National Provider Identifier
1396787388
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA06347200 Issued in NJ
Practice address
1 Sears Dr
2ND Floor
Paramus, NJ 07652-3515
Phone
(201) 225-2555
Fax
(201) 225-2532
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA06347200 NJ Primary

Addresses

Primary practice location

1 Sears Dr
2ND Floor
Paramus, NJ 07652-3515

Mailing address

1 Sears Dr
2ND Floor
Paramus, NJ 07652-3515
Phone (201) 225-2555

Other names 1

  • Dr. Amy Michele Selick Former name

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 Medicine

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1396787388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEARS DR",
            "address_2": "2ND FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523515",
            "telephone_number": "201-225-2555",
            "fax_number": "201-225-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SEARS DR",
            "address_2": "2ND FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523515",
            "telephone_number": "201-225-2555",
            "fax_number": "201-225-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "AMY",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA06347200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SELICK",
            "middle_name": "MICHELE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.