Individual provider Active NPI

Matthew Siegel, PA

  • Physician Assistant
  • Hicksville, NY
National Provider Identifier
1750060430
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
030035 Issued in NY
Practice address
232 W Old Country Rd Ste a
Hicksville, NY 11801-4011
Phone
(917) 310-3371
Fax
(516) 938-1554
NPI assigned
Jul 11, 2023
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 030035 NY Primary

Addresses

Primary practice location

232 W Old Country Rd Ste a
Hicksville, NY 11801-4011

Mailing address

135 Mineola Blvd FL 2
Mineola, NY 11501-3917
Phone (917) 410-6990

Other practice location 1

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (631) 503-3395

Other practice location 2

3007 36th Ave Ste A
Astoria, NY 11106-2314
Phone (917) 310-3371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004002515 NY Practitioner - Physician Assistant 4284089681 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hicksville Family Medical Care PLLCGroup PAC ID 7416290564, 45 clinicians

Practice addresses (Care Compare)

135 Mineola Blvd
Mineola, NY 11501-3917
Phone (516) 218-8880

232 W Old Country Rd
Hicksville, NY 11801-4011
Phone (516) 938-1550

3715 23Rd Ave
Astoria, NY 11105-1993
Phone (855) 936-7362

8010 Northern Blvd
Jackson Heights, NY 11372-1345
Phone (855) 936-7362

Merit-based Incentive Payment System (MIPS)

Final score
91.85 of 100Reported as group
Quality
79.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
030035NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
JPR Urgent Medical Care Past Accepting new patients

Organizations & group practices 4

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1750060430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MINEOLA BLVD FL 2",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013917",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W OLD COUNTRY RD STE A",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014011",
            "telephone_number": "917-310-3371",
            "fax_number": "516-938-1554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Beach 19th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914423",
            "country_code": "US",
            "telephone_number": "631-503-3395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3007 36th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111062314",
            "country_code": "US",
            "telephone_number": "917-310-3371",
            "fax_number": "516-938-1554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.