NPIMap

Individual provider Active NPI

Janice Siciliano

  • Internal Medicine Physician
  • Sea Girt, NJ
National Provider Identifier
1689612129
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB52255 Issued in NJ
Practice address
2130 Highway 35 Ste 324
Building C
Sea Girt, NJ 08750-1011
Phone
(732) 974-8005
Fax
(732) 974-8020
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB52255 NJ Primary

Addresses

Primary practice location

2130 Highway 35 Ste 324
Building C
Sea Girt, NJ 08750-1011

Mailing address

2130 Highway 35 Ste 324
Building C
Sea Girt, NJ 08750-1011
Phone (732) 974-8005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712000237 NJ Practitioner - Internal Medicine 2567498587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners in Freedom LLCGroup PAC ID 1254318256, 3 clinicians

Practice addresses (Care Compare)

3350 Hwy 138
Suite 217
Wall Township, NJ 07719-9694
Phone 7329741980111

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Hackensack Meridian at Home Monmouth County Home health agency, Neptune, NJ, CCN 317084
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Monmouth Medical Center-Southern Campus Hospital, Lakewood, NJ, CCN 310084
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB52255NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Partners in Freedom LLC Past Accepting new patients
Partners in Freedom Internal Medicine Past Accepting new patients
Bayshore Medical Group PC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janicesiciliano@mai.allscriptsdirect.net
  • Direct secure messaging: janicesiciliano@pfllc.allscriptsdirect.net

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.

Hospital & facility affiliations 10

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1689612129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35 STE 324",
            "address_2": "BUILDING C",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501011",
            "telephone_number": "732-974-8005",
            "fax_number": "732-974-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35 STE 324",
            "address_2": "BUILDING C",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501011",
            "telephone_number": "732-974-8005",
            "fax_number": "732-974-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICILIANO",
        "first_name": "JANICE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB52255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

Verify at the official NPI Registry.