Active NPI
James Edward Siedlecky, RN
- Registered Nurse
- Binghamton, NY
National Provider Identifier
1619752631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 580295-01
- Practice address
- 43 Clifton Blvd
Binghamton, NY 13903-1429 - Phone
- (607) 221-7475
- NPI assigned
- Aug 28, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 580295-01 | NY | Primary |
Addresses
Primary practice location
43 Clifton Blvd
Binghamton, NY 13903-1429
Mailing address
43 Clifton Blvd
Binghamton, NY 13903-1429
Phone (607) 221-7475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 580295-01 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1619752631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 CLIFTON BLVD",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139031429",
"telephone_number": "607-221-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 CLIFTON BLVD",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139031429",
"telephone_number": "607-221-7475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEDLECKY",
"first_name": "JAMES",
"middle_name": "EDWARD",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "580295-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.