Active NPI
Michael David Seidner, M.D.
- Obstetrics & Gynecology Physician
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA04635200
- Practice address
- 140 Grand Ave Ste a
Englewood, NJ 07631-6581 - Phone
- (201) 488-1700
- Fax
- (201) 488-1404
- NPI assigned
- May 12, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA04635200 | NJ | Primary |
Addresses
Primary practice location
140 Grand Ave Ste a
Englewood, NJ 07631-6581
Mailing address
140 Grand Ave Ste a
Englewood, NJ 07631-6581
Phone (201) 488-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 462450501 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Englewood | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
622 Franklin Ave
Nutley, NJ 07110-1247
Phone (973) 661-1900
Hospital & facility affiliations
- Hackensack University Medical Center
- Holy Name Medical Center
- Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MPV New Jersey MD Services PC | Current | Accepting new patients | |
| MPV New Jersey MD Services PC | Current | Accepting new patients |
Locations
140 Grand Ave
Ste A
Englewood, NJ 07631
Phone (201) 488-1700
10 Forest Ave
Ste 220
Paramus, NJ 07652
Phone (201) 639-7690
10 Forest Ave
Paramus, NJ 07652
Phone (201) 291-0750
Interoperability endpoints
- mseidner466878@ahs.direct-ci.com
Organizations & group practices 2
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.
-
- General Practice Physician
- Westwood, NJ
- NPI 1215391271
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, NJ
- NPI 1801542816
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
-
- General Acute Care Hospital
- Teaneck, NJ
- NPI 1104859131
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1891746145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 GRAND AVE STE A",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076316581",
"telephone_number": "201-488-1700",
"fax_number": "201-488-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 GRAND AVE STE A",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076316581",
"telephone_number": "201-488-1700",
"fax_number": "201-488-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDNER",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA04635200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "462450501",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Englewood",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Englewood",
"address_1": "140 Grand Ave",
"city": "Englewood",
"state": "NJ",
"country_code": "US",
"postal_code": "076316581",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.