Individual provider Active NPI

David Lamar Seibel, MD

  • General Practice Physician
  • Vineland, NJ
National Provider Identifier
1669574364
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
25MA03080700 Issued in NJ
Practice address
3268 N Delsea Dr
Vineland, NJ 08360-1616
Phone
(856) 696-3908
Fax
(856) 563-1918
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 25MA03080700 NJ Primary

Addresses

Primary practice location

3268 N Delsea Dr
Vineland, NJ 08360-1616

Mailing address

3268 N Delsea Dr
Vineland, NJ 08360-1616
Phone (856) 696-3908

Other identifiers 2

IdentifierTypeStateIssuer
222144302OtherFED ID
2424509MedicaidNJ

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
I20120210000608 NJ Practitioner - General Practice 2466639364 Practice locations: Vineland, NJ

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1669574364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3268 N DELSEA DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083601616",
            "telephone_number": "856-696-3908",
            "fax_number": "856-563-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3268 N DELSEA DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083601616",
            "telephone_number": "856-696-3908",
            "fax_number": "856-563-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBEL",
        "first_name": "DAVID",
        "middle_name": "LAMAR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA03080700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED ID",
            "identifier": "222144302",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2424509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.