Individual provider Active NPI

Jerome Aron Siegmeister, M.D.

  • Child & Adolescent Psychiatry Physician
  • Miami, FL
National Provider Identifier
1700248077
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME142120 Issued in FL
Practice address
3850 Bird Rd FL 10
Miami, FL 33146-1501
Phone
(305) 666-7225
Fax
(973) 528-1136
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME142120 FL
Child & Adolescent Psychiatry Physician 2084P0804X ME142120 FL Primary

Addresses

Primary practice location

3850 Bird Rd FL 10
Miami, FL 33146-1501

Mailing address

7712 Altamira Ave
Coral Gables, FL 33143-6244
Phone (305) 666-7225

Other practice location 1

4600 Linton Blvd Ste 250
Delray Beach, FL 33445-6600
Phone (561) 496-1094

Other practice location 2

5901 SW 74th St Ste 408
South Miami, FL 33143-5164
Phone (305) 735-3555

Other identifiers 1

IdentifierTypeStateIssuer
ME142120OtherFLLICENSE

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jerome Siegmeister MD PA CurrentSince Jan 21, 2022 Accepting new patients
Ventre Medical Associates, LLC Psychiatry CurrentSince Aug 1, 2021 Accepting new patients

Locations

7261 Sheridan St
Ste 340
Hollywood, FL 33024

3850 Bird Rd
Fl 10
Miami, FL 33146
Phone (305) 666-7225

5901 SW 74th St
Ste 408
South Miami, FL 33143
Phone (305) 735-3555

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1700248077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 ALTAMIRA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331436244",
            "telephone_number": "305-666-7225",
            "fax_number": "973-528-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 BIRD RD FL 10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331461501",
            "telephone_number": "305-666-7225",
            "fax_number": "973-528-1136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Linton Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334456600",
            "country_code": "US",
            "telephone_number": "561-496-1094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 SW 74th St Ste 408",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331435164",
            "country_code": "US",
            "telephone_number": "305-735-3555",
            "fax_number": "954-990-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGMEISTER",
        "first_name": "JEROME",
        "middle_name": "ARON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME142120",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME142120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME142120",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.