Individual provider Active NPI

Guy Ernest Siraki, CHIROPRACTOR

  • Chiropractor
  • Oradell, NJ
National Provider Identifier
1477636348
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2713 Issued in NJ
Practice address
4 Marggraff Court
Oradell, NJ 07649
Phone
(201) 967-8666
Fax
(201) 967-9037
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2713 NJ Primary

Addresses

Primary practice location

4 Marggraff Court
Oradell, NJ 07649

Mailing address

4 Marggraff Court
Oradell, NJ 07649
Phone (201) 967-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100326000894 NJ Practitioner - Chiropractic 4688700800 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2713NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kayal Medical Group, LLC Chiropractor CurrentSince Jul 7, 2023 Accepting new patients
Dr. Guy E. Siraki DC Chiropractor PastSince Jan 1, 1990 Accepting new patients
Guy Siraki Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1477636348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MARGGRAFF COURT",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "07649",
            "telephone_number": "201-967-8666",
            "fax_number": "201-967-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MARGGRAFF COURT",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "07649",
            "telephone_number": "201-967-8666",
            "fax_number": "201-967-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAKI",
        "first_name": "GUY",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "2713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.