Organization Active NPI

Doctor Joseph Sireci LLC

  • Family Medicine Physician
  • Marlton, NJ
National Provider Identifier
1992713960
Registry record updated Oct 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB06960300 Issued in NJ
Legal business name
DOCTOR JOSEPH SIRECI LLC
Practice address
475 Old Marlton Pike W
Suite 5
Marlton, NJ 08053-2098
Phone
(856) 702-6700
Fax
(856) 702-6701
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2007

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

Authorized official

Name
Joseph Sireci, DO
Title
Owner
Phone
(856) 702-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MB06960300 NJ Primary

Addresses

Primary practice location

475 Old Marlton Pike W
Suite 5
Marlton, NJ 08053-2098

Mailing address

475 Old Marlton Pike
Suite 5
Marlton, NJ 08053
Phone (856) 702-6700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192838400000",
    "number": "1992713960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 OLD MARLTON PIKE",
            "address_2": "SUITE 5",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-702-6700",
            "fax_number": "856-702-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 OLD MARLTON PIKE W",
            "address_2": "SUITE 5",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532098",
            "telephone_number": "856-702-6700",
            "fax_number": "856-702-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR JOSEPH SIRECI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-10-20",
        "status": "A",
        "authorized_official_last_name": "SIRECI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-702-6700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB06960300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.