Active NPI
Mia Capozella Seiger, DMD
- Dentist
- West Orange, NJ
National Provider Identifier
1447470695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22D101657000
- Practice address
- 1155 Pleasant Valley Way
Daughters of Israel Geriatric Ctr
West Orange, NJ 07052 - Phone
- (973) 732-5100
- NPI assigned
- Apr 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22D101657000 | NJ | Primary |
Addresses
Primary practice location
1155 Pleasant Valley Way
Daughters of Israel Geriatric Ctr
West Orange, NJ 07052
Mailing address
1155 Pleasant Valley Way
Daughters of Israel Geriatric Ctr
West Orange, NJ 07052
Phone (973) 732-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4564405 | Medicaid | NJ |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D101657000 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447470695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 PLEASANT VALLEY WAY",
"address_2": "DAUGHTERS OF ISRAEL GERIATRIC CTR",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "07052",
"telephone_number": "973-732-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 PLEASANT VALLEY WAY",
"address_2": "DAUGHTERS OF ISRAEL GERIATRIC CTR",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "07052",
"telephone_number": "973-732-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIGER",
"first_name": "MIA",
"middle_name": "CAPOZELLA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22D101657000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4564405",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.