Active NPI
Kimberly A. Siegel, D.C., D.I.C.C.P.
- Chiropractor
- Perth Amboy, NJ
National Provider Identifier
1457550055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC005240
- Practice address
- 335 Maple St
Perth Amboy, NJ 08861-4109 - Phone
- (732) 376-0606
- Fax
- (732) 376-1614
- NPI assigned
- Jul 13, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC005240 | NJ | Primary |
Addresses
Primary practice location
335 Maple St
Perth Amboy, NJ 08861-4109
Mailing address
PO Box 2558
Perth Amboy, NJ 08862-2558
Phone (732) 376-0606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1275 Route 35
Suite 6
Middletown, NJ 07748-2000
Phone (732) 739-3345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC005240 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Chiropractic & Wellness Center | Chiropractor | Current | Accepting new patients |
Locations
1275 State Route 35
Ste 6
Middletown, NJ 07748
Phone (732) 739-3345
Organizations & group practices 1
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.
-
- Chiropractor
- Middletown, NJ
- NPI 1174868889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1457550055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2558",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088622558",
"telephone_number": "732-376-0606",
"fax_number": "732-376-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 MAPLE ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088614109",
"telephone_number": "732-376-0606",
"fax_number": "732-376-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "KIMBERLY",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "D.C., D.I.C.C.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC005240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.