Individual provider Active NPI

Brian K Siegel, MD

  • Surgical Critical Care Physician
  • Somerville, NJ
National Provider Identifier
1477555977
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
25MA07508600 Issued in NJ
Practice address
110 Rehill Ave
Somerville, NJ 08876-2519
Phone
(732) 235-7766
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X 25MA07508600 NJ
Surgical Critical Care Physician 2086S0102X 25MA07508600 NJ Primary
Surgery Physician 208600000X 25MA07508600 NJ

Addresses

Primary practice location

110 Rehill Ave
Somerville, NJ 08876-2519

Mailing address

120 Cross Rd
Basking Ridge, NJ 07920-1502
Phone (908) 766-2057

Other practice location 1

95 Madison Ave
Suite 304
Morristown, NJ 07960-6092
Phone (973) 971-7200

Other identifiers 1

IdentifierTypeStateIssuer
0044202MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000058 NJ Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 8729060074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
New York Medical College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutgers Health-RWJ Neurosurgery FacultyGroup PAC ID 4587613443, 189 clinicians

Practice addresses (Care Compare)

110 Rehill Ave
Somerville, NJ 08876-2519
Phone (908) 203-6247

125 Paterson St
New Brunswick, NJ 08901-1962

Hospital & facility affiliations

  • Grace Healthcare Services LLC Hospice, Edison, NJ, CCN 311563
  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07508600NJMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Jun 24, 2021 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Current Accepting new patients
Specialty Care of Practice Associates,PA CurrentSince Oct 1, 2004 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Jun 24, 2021 Accepting new patients
Robert Wood Johnson University Hospital Inc Past Accepting new patients
Practice Associates,Inc Surgery Past Accepting new patients
Surgical Intensivists, PC Surgery Past Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients

Locations

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

435 South St
Ste 360
Morristown, NJ 07960
Phone (973) 971-7200

100 Madison Ave
#78
Morristown, NJ 07960

10 Plum St
Fl 5
New Brunswick, NJ 08901
Phone (732) 235-5530

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

Interoperability endpoints

  • Direct secure messaging: bsiegel59328@epicdirect.rwjbh.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/xYxhuXIFsLg59PaSNJv_x-piAtPKX3W8/

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1477555977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CROSS RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201502",
            "telephone_number": "908-766-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 REHILL AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762519",
            "telephone_number": "732-235-7766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Madison Ave",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606092",
            "country_code": "US",
            "telephone_number": "973-971-7200",
            "fax_number": "973-290-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "BRIAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NJ",
            "license": "25MA07508600",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NJ",
            "license": "25MA07508600",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07508600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.