Susan R Siegel, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

033986 Issued in NY

Practice address

3515 Henry Hudson Pkwy
Bronx, NY 10463-1326

Phone

(718) 796-2500

Fax

(718) 548-7858

NPI assigned

Mar 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1811210560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 HENRY HUDSON PKWY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631326",
            "telephone_number": "718-796-2500",
            "fax_number": "718-548-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 HENRY HUDSON PKWY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631326",
            "telephone_number": "718-796-2500",
            "fax_number": "718-548-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "033986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Allen Siegel, M.D.
• Maral Siegel, D.D.S.
• Morgan Brooke Siegel
• Rebecca B Siegel
• Robert Errol Siegel, M.D.
• Victoria Siegel, M.A. CCC-SLP, TSSLD
• David Evan Siegelman
• Elizabeth Hathaway Sieger, PH.D.
• Zachary Siegfried
• Yaritza Mercedes Siejack

• Dentist in Bronx, NY
• Providers in Bronx, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.