Active NPI
Lawrence Allen Siegel, M.D.
- Forensic Psychiatry Physician
- Bronx, NY
National Provider Identifier
1770733875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 140959
- Practice address
- 260 E 188TH St
Bronx, NY 10458-5302 - Phone
- (914) 478-7536
- Fax
- (914) 478-0378
- NPI assigned
- Sep 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 25MA06840100 | NJ | |
| Forensic Psychiatry Physician | 2084F0202X | 140959 | NY | Primary |
Addresses
Primary practice location
260 E 188TH St
Bronx, NY 10458-5302
Mailing address
PO Box 8217
White Plains, NY 10602-8217
Phone (914) 478-7536
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06840100 | NJ | MD | Forensic Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1770733875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8217",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106028217",
"telephone_number": "914-478-7536",
"fax_number": "914-478-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 E 188TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104585302",
"telephone_number": "914-478-7536",
"fax_number": "914-478-0378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "LAWRENCE",
"middle_name": "ALLEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-24",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "NJ",
"license": "25MA06840100",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "NY",
"license": "140959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.