Individual provider Active NPI

Louis Jared Siegel, D.O.

  • Pediatric Dermatology Physician
  • Valley Stream, NY
National Provider Identifier
1922363605
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Dermatology PhysicianTaxonomy code 207NP0225X
License
271946 Issued in NY
Practice address
70 E Sunrise Hwy
Valley Stream, NY 11581-1240
Phone
(516) 536-5656
NPI assigned
Jul 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 271946 NY
Family Medicine Physician 207Q00000X 271946 NY
Pediatric Dermatology Physician 207NP0225X 271946 NY Primary

Addresses

Primary practice location

70 E Sunrise Hwy
Valley Stream, NY 11581-1240

Mailing address

244 Kent Dr
Hewlett, NY 11557-1813

Other practice location 1

50 Glen Cove Rd
Greenvale, NY 11548-1062
Phone (516) 621-1982

Other identifiers 1

IdentifierTypeStateIssuer
271946OtherNYNYS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lsiegel149454@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723003008 NY Practitioner - Dermatology 6608123534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

70 E Sunrise Hwy
Valley Stream, NY 11581-1233
Phone (516) 764-5380

9777 Queens Blvd
Rego Park, NY 11374-3335
Phone (718) 261-9100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions443
Skin biopsy178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271946NYMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stacey F Brisman MD PC Dermatology CurrentSince Apr 14, 2019 Accepting new patients
New York University CurrentSince Feb 1, 2022 Accepting new patients
New York University CurrentSince Feb 1, 2022 Accepting new patients
St John'S Medical Services PC CurrentSince Jul 1, 2018 Accepting new patients
Episcopal Health Services Inc PastSince Jul 1, 2018 Accepting new patients

Locations

1909 Plainview Ave
Far Rockaway, NY 11691
Phone (718) 869-7690

327 Beach 19th St
Fl 9
Far Rockaway, NY 11691
Phone (718) 869-5111

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

9777 Queens Blvd
Rego Park, NY 11374
Phone (718) 275-9300

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

70 E Sunrise Hwy
Ste 515
Valley Stream, NY 11581
Phone (516) 536-5656

70 E Sunrise Hwy
Ste 515E
Valley Stream, NY 11581
Phone (516) 536-5656

70 E Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 825-3600

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1922363605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 KENT DR",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811240",
            "telephone_number": "516-536-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Glen Cove Rd",
            "address_purpose": "LOCATION",
            "city": "Greenvale",
            "state": "NY",
            "postal_code": "115481062",
            "country_code": "US",
            "telephone_number": "516-621-1982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "LOUIS",
        "middle_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "271946",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "271946",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NY",
            "license": "271946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "271946",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsiegel149454@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "70 E Sunrise Hwy",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115811240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.