Organization Active NPI

Jerome H Siegel MDPC

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1902883887
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
JEROME H SIEGEL MDPC
Practice address
501 E 79TH St Apt 15E
New York, NY 10075-0734
Phone
(212) 734-8874
Fax
(212) 249-5628
NPI assigned
Dec 30, 2005
Last updated
Mar 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Esther Kasmin
Title
Practice Manager
Phone
(212) 734-8874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

501 E 79TH St Apt 15E
New York, NY 10075-0734

Mailing address

PO Box 20506
New York, NY 10021-0069
Phone (212) 734-8874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071008000545 NY Part B Supplier - Clinic/Group Practice 5092800805 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20110127001022 FL Part B Supplier - Clinic/Group Practice 5092800805 Receives reassigned benefits from 1 practitioner
Practice locations: Aventura, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Jerome H Siegel MDPC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 Prospect Ave
Ste 813
Hackensack, NJ 07601
Phone (973) 471-8200

60 E End Ave
New York, NY 10028
Phone (212) 860-0373

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1902883887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20506",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210069",
            "telephone_number": "212-734-8874",
            "fax_number": "212-249-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E 79TH ST APT 15E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750734",
            "telephone_number": "212-734-8874",
            "fax_number": "212-249-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME H SIEGEL MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "KASMIN",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "212-734-8874"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.