Mitchell Judah Siegelman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02978500 Issued in NJ

Practice address

573 Cranbury Rd Ste A1
East Brunswick, NJ 08816-4144

Phone

(732) 613-1931

NPI assigned

Jun 27, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• East Brunswick Dental Studio, LLC

  • Dentist
  • East Brunswick, NJ
  • NPI 1841319209
  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1467138974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 EVERGREEN CT",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022336",
            "telephone_number": "732-543-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 CRANBURY RD STE A1",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164144",
            "telephone_number": "732-613-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGELMAN",
        "first_name": "MITCHELL",
        "middle_name": "JUDAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02978500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreyas USA LLC
• Sabra Wood Shulman, M.D.
• Harlan J Sicherman, MD
• Farzan Ulhaq Siddiqui, RPH
• Wendy Siegel, MA, CCC-SLP
• Daniel Silitsky, PH.D., ED.S., CHT,
• Ashley P Silva
• Rebecca Michelle Silver
• Silverado Corporation
• Lev S. Simkhayev, M.D.

• Dentist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; 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.