Active NPI
Jenifer Siegelman, MD
- Diagnostic Radiology Physician
- Norwich, CT
National Provider Identifier
1699761346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 257053
- Practice address
- 326 Washington St
Norwich, CT 06360-2740 - Phone
- (860) 889-8331
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 040352 | CT | |
| Diagnostic Radiology Physician | 2085R0202X | 257053 | MA | Primary |
Addresses
Primary practice location
326 Washington St
Norwich, CT 06360-2740
Mailing address
PO Box 9132
Att:Sharon Silva
Brookline, MA 02446-9132
Phone (800) 927-0002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001403526 | Medicaid | CT |
Other names 1
- Jenifer Siegelman
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba JHCP - 195 Thomas Johnson Drive
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1699761346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9132",
"address_2": "ATT:SHARON SILVA",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024469132",
"telephone_number": "800-927-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 WASHINGTON ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602740",
"telephone_number": "860-889-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGELMAN",
"first_name": "JENIFER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "040352",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "257053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001403526",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENIFER",
"last_name": "SIEGELMAN",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.