Active NPI
Deborah S Siegel-Robles, MD
- Internal Medicine Physician
- Princeton, NJ
National Provider Identifier
1821172495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA08060300
- Practice address
- 811 Executive Dr
BLDG. 8 Stes. 811-813
Princeton, NJ 08540-1530 - Phone
- (609) 303-4600
- Fax
- (609) 303-4601
- NPI assigned
- Oct 24, 2006
- Last updated
- Oct 27, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 25MA08060300 | NJ | Primary |
Addresses
Primary practice location
811 Executive Dr
BLDG. 8 Stes. 811-813
Princeton, NJ 08540-1530
Mailing address
14 Drayton LN
Plainsboro, NJ 08536-2321
Other practice location 1
300 Witherspoon St
Princeton, NJ 08542-3401
Phone (609) 303-4600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0682570 | Other | NJ | CIGNA |
| P3952104 | Other | NJ | OXFORD |
| 4119378 | Other | NJ | AETNA |
| 0241865 | Medicaid | NJ |
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 |
|---|---|---|---|
| NJ Urgentcare | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Elizabeth, NJ
- NPI 1790381572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1821172495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 DRAYTON LN",
"city": "PLAINSBORO",
"state": "NJ",
"postal_code": "085362321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 EXECUTIVE DR",
"address_2": "BLDG. 8 STES. 811-813",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085401530",
"telephone_number": "609-303-4600",
"fax_number": "609-303-4601"
}
],
"practiceLocations": [
{
"address_1": "300 Witherspoon St",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "NJ",
"postal_code": "085423401",
"country_code": "US",
"telephone_number": "609-303-4600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIEGEL-ROBLES",
"first_name": "DEBORAH",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08060300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0682570",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3952104",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4119378",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0241865",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.