Individual provider Active NPI

Stacey Siegel, M.D.

  • Diagnostic Radiology Physician
  • Tenafly, NJ
National Provider Identifier
1952339905
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MA63979 Issued in NJ
Practice address
8 Woodhill Rd
Tenafly, NJ 07670-2220
Phone
(201) 741-0998
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MA63979 NJ Primary

Addresses

Primary practice location

8 Woodhill Rd
Tenafly, NJ 07670-2220

Mailing address

8 Woodhill Rd
Tenafly, NJ 07670-2220
Phone (201) 741-0998

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
I20050725000737 NJ Practitioner - Diagnostic Radiology 0941237630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Englewood Radiologic Group P aGroup PAC ID 6901852300, 131 clinicians

Practice addresses (Care Compare)

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB059047NJMDGynecology Physician
MA63979NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Oct 28, 2023 Accepting new patients
Peace Health Partners, PC Diagnostic Radiology Past Accepting new patients
Regional Imaging & Therapeutic Radiology Services PC Diagnostic Radiology Past Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952339905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WOODHILL RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702220",
            "telephone_number": "201-741-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WOODHILL RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702220",
            "telephone_number": "201-741-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "STACEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "MA63979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

Verify at the official NPI Registry.