Individual provider Active NPI

Abby Brena Siegel, M.D.

  • Medical Oncology Physician
  • New York, NY
National Provider Identifier
1548333255
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2155801 Issued in NY
Practice address
1305 York Ave FL 12
New York, NY 10021-5663
Phone
(646) 962-6200
Fax
(646) 962-1607
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 2155801 NY Primary

Addresses

Primary practice location

1305 York Ave FL 12
New York, NY 10021-5663

Mailing address

PO Box 27036
New York, NY 10087-7036
Phone (212) 305-0914

Other identifiers 1

IdentifierTypeStateIssuer
02109722MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041030000016 NY Practitioner - Medical OncologyPractitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - HematologyPractitioner - Hematology/OncologyPractitioner - Medical Toxicology 6103888391 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2155801NYMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Oct 3, 2017 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 3, 2017 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Trustees of Columbia University in City of Ny Hematology Oncology Past Accepting new patients
The Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

1305 York Ave
Ste 12
New York, NY 10021
Phone (646) 962-6200

525 E 68th St
#M
New York, NY 10065
Phone (212) 746-2850

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

622 W 168th St
Fl 14
New York, NY 10032
Phone (212) 305-6788

1305 York Ave
Fl 12
New York, NY 10021
Phone (646) 962-6200

622 W 168th St
Ph 14C
New York, NY 10032
Phone (212) 305-4146

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Interoperability endpoints

  • Direct secure messaging: siegela@direct.weillcornell.org

Organizations & group practices 5

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1548333255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27036",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100877036",
            "telephone_number": "212-305-0914",
            "fax_number": "212-305-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 YORK AVE FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215663",
            "telephone_number": "646-962-6200",
            "fax_number": "646-962-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "ABBY",
        "middle_name": "BRENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "2155801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02109722",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.