Active NPI
Frederick Paul Siegal, MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1801980099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 097973
- Practice address
- 36 Seventh Avenue, Suite 512
Mount Sinai Downtown
New York, NY 10011 - Phone
- (212) 604-6513
- Fax
- (212) 604-6579
- NPI assigned
- Oct 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 097973 | NY | Primary |
Addresses
Primary practice location
36 Seventh Avenue, Suite 512
Mount Sinai Downtown
New York, NY 10011
Mailing address
36 Seventh Avenue, Suite 512
Mount Sinai Downtown Practice
New York, NY 10011
Phone (212) 604-2940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00166069 | Medicaid | NY |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Hospital and Medical Center | 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 and National Provider Directory roles.
-
- Specialist
- New York, NY
- NPI 1285746354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1801980099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 SEVENTH AVENUE, SUITE 512",
"address_2": "MOUNT SINAI DOWNTOWN PRACTICE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-604-2940",
"fax_number": "212-604-7281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 SEVENTH AVENUE, SUITE 512",
"address_2": "MOUNT SINAI DOWNTOWN",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-604-6513",
"fax_number": "212-604-6579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGAL",
"first_name": "FREDERICK",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "097973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00166069",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.