Individual provider Active NPI

Douglas P Sieminski, DO

  • Family Medicine Physician
  • Newton, NJ
National Provider Identifier
1922066125
Registry record updated Dec 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB07893100 Issued in NJ
Practice address
33 Newton Sparta Rd
Newton, NJ 07860-2764
Phone
(973) 383-2244
Fax
(973) 383-0448
NPI assigned
May 4, 2006
Last updated
Dec 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB07893100 NJ Primary

Addresses

Primary practice location

33 Newton Sparta Rd
Newton, NJ 07860-2764

Mailing address

404 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107001036 NJ Practitioner - Family Practice 6507883170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

33 Newton Sparta Rd
Suite 1
Newton, NJ 07860-2764
Phone (973) 383-2244

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB07893100NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Consensus Medical Group LLC CurrentSince Nov 19, 2021 Accepting new patients
Ahs Hospital Corp Past Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

174 Edison Rd
Lk Hopatcong, NJ 07849
Phone (973) 663-1300

404 Lippincott Dr
Marlton, NJ 08053

170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540

33 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 383-2971

33 Newton Sparta Rd
Ste 1
Newton, NJ 07860
Phone (973) 383-2244

Interoperability endpoints

  • Direct secure messaging: douglas.sieminski.1@18614.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1922066125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 NEWTON SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602764",
            "telephone_number": "973-383-2244",
            "fax_number": "973-383-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMINSKI",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB07893100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.