Active NPI
Barry Neil Siskind, M.D.
- Diagnostic Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD051148L
- Practice address
- 4900 Frankford Ave
Attn: Radiology
Philadelphia, PA 19124-2618 - Phone
- (215) 612-2610
- Fax
- (215) 612-5077
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD051148L | PA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 25MA07551700 | NJ | |
| Body Imaging Physician | 2085B0100X | MD051148L | PA | |
| Body Imaging Physician | 2085B0100X | 25MA07551700 | NJ |
Addresses
Primary practice location
4900 Frankford Ave
Attn: Radiology
Philadelphia, PA 19124-2618
Mailing address
PO Box 782743
Attn: Credentialing
Philadelphia, PA 19178-2743
Phone (602) 910-6887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD051148L | PA | MD | Body Imaging Physician |
| 25MA07551700 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jefferson University Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| MRI Professionals Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Mercy Diagnostic Imaging PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
999 Route 73 N
Ste 101
Marlton, NJ 08053
Phone (856) 424-2929
3 Crescent Dr
Ste 1002
Philadelphia, PA 19112
Phone (215) 503-4900
10160 Bustleton Ave
Ste E
Philadelphia, PA 19116
Phone (215) 503-4900
850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900
Organizations & group practices 4
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.
-
- Radiology Clinic/Center
- Philadelphia, PA
- NPI 1578512224
Diagnostic Radiology
-
- Radiology Clinic/Center
- Philadelphia, PA
- NPI 1992307979
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Darby, PA
- NPI 1477509768
-
- Diagnostic Radiology Physician
- Upland, PA
- NPI 1598753881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1952371668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 782743",
"address_2": "ATTN: CREDENTIALING",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191782743",
"telephone_number": "602-910-6887",
"fax_number": "215-612-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 FRANKFORD AVE",
"address_2": "ATTN: RADIOLOGY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191242618",
"telephone_number": "215-612-2610",
"fax_number": "215-612-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISKIND",
"first_name": "BARRY",
"middle_name": "NEIL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD051148L",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA07551700",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "PA",
"license": "MD051148L",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NJ",
"license": "25MA07551700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.