Individual provider Active NPI

Wendy Siegel, MA, CCC-SLP

  • Speech-Language Pathologist
  • East Brunswick, NJ
National Provider Identifier
1780344333
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00630700 Issued in NJ
Practice address
10 Yorktown Rd
East Brunswick, NJ 08816-3323
Phone
(732) 668-2705
NPI assigned
Dec 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00630700 NJ Primary

Addresses

Primary practice location

10 Yorktown Rd
East Brunswick, NJ 08816-3323

Mailing address

10 Yorktown Rd
East Brunswick, NJ 08816-3323
Phone (732) 668-2705

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL wendysiegelslp@gmail.com

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
41YS00630700NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1780344333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 YORKTOWN RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163323",
            "telephone_number": "732-668-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 YORKTOWN RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163323",
            "telephone_number": "732-668-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "WENDY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00630700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wendysiegelslp@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "10 Yorktown Rd",
            "city": "East Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088163323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.