NPIMap

Individual provider Active NPI

Eric S. Seigel, P.A.- C, DFAAPA, PHD

  • Physician Assistant
  • Commack, NY
National Provider Identifier
1932185972
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006809-1 Issued in NY
Practice address
283 Commack Rd Ste 115
Commack, NY 11725-3400
Phone
(631) 343-7144
NPI assigned
Dec 21, 2005
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006809-1 NY Primary

Addresses

Primary practice location

283 Commack Rd Ste 115
Commack, NY 11725-3400

Mailing address

283 Commack Rd Ste 115
Commack, NY 11725-3400
Phone (631) 343-7144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022000353 SC Practitioner - Physician Assistant 4385600063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
006809NYMDAcupuncturist
006809-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Sep 1, 2025 Accepting new patients
University Medical Associates of the Medical University of South Carol Physician Assistant CurrentSince Sep 1, 2025 Accepting new patients
Impact Physician Group, South Carolina LLC Past Accepting new patients
Miriam Kanter MD PC Past Accepting new patients
Optimum Mens Health LLC Past Accepting new patients
Bimc Faculty Practice Physician Assistant Past Accepting new patients
Healthmakers Medical Group, P.C. Past Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Organizations & group practices 7

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 6

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1932185972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD STE 115",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253400",
            "telephone_number": "631-343-7144",
            "fax_number": "631-670-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD STE 115",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253400",
            "telephone_number": "631-343-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIGEL",
        "first_name": "ERIC",
        "middle_name": "S.",
        "credential": "P.A.- C, DFAAPA, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006809-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.