DR. MARK ERIC SIEGEL (NPI# 1053494021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053494021 |
| Entity Type | Individual |
| Full Name | DR. MARK ERIC SIEGEL |
| Credential | MD |
| Practice Address |
30 Prospect Ave Imus Bldg, 3rd Fl, Hackensack Univ. Medical Center Hackensack NJ 07601-1914 |
| Practice Telephone | 2019962403 |
| Mailing Telephone | 2019962403 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
201727 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MA072770 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0105635 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376783928 | Mark Siegel | Anesthesiology | 19 E. 98th Street, Suite 7a, New York, NY 10029 | 2009-02-23 |
| 1124234232 | Mark Steven Siegel | Marriage & Family Therapist | 7631 Stanford Ave, University City, MO 63130-2839 | 2007-05-15 |
| 1487690046 | Mark Phillips Siegel | Family Medicine | 1820 W Maryland Ave, Suite 5, Phoenix, AZ 85015 | 2006-06-21 |
| 1013981380 | Mark Ira Siegel | Internal Medicine | 60 Gramercy Park N, Ground Floor, New York, NY 10010-5423 | 2006-02-14 |
| 1285614016 | Mark Samuel Siegel | Ophthalmology | 989 Ribaut Rd Ste 200, Beaufort, SC 29902-5481 | 2006-01-18 |
| 1386649614 | Mark G. Siegel | Orthopaedic Surgery | 10663 Montgomery Rd, Cincinnati, OH 45242-4403 | 2005-06-14 |
| 1437536463 | Mark Joseph Siegel | Pediatrics | 169 Ashley Ave, Room 202 Main Hospital Musc333, Charleston, SC 29425 | 2015-04-28 |
| 1588863799 | Mark Siegel | Clinic/Center | 508 N Acadia Rd, Thibodaux, LA 70301-4862 | 2007-07-17 |
| 1710193693 | Mark David Siegel | Dentist | 16055 Ventura Blvd, Suite 1030, Encino, CA 91436-2601 | 2007-05-15 |
| 1649322595 | Mark Siegel | Psychiatry & Neurology | 1220 Dewey Ave., Wauwatosa, WI 53213-2504 | 2007-01-18 |
| Street Address |
30 PROSPECT AVE IMUS BLDG, 3RD FL, HACKENSACK UNIV. MEDICAL CENTER |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955279 | Despee Bockarie Konneh | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2005-07-14 |
| 1629675616 | Jena Marie Ahmed | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-10-03 |
| 1114532173 | Caroline Castro | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-15 |
| 1013521244 | Stephanie Akanbi | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-04 |
| 1639781388 | Caitlin Brianna Powers | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-08-22 |
| 1457960270 | Neha Bhasin | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-28 |
| 1083232375 | James Robert Hoff IIi | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-13 |
| 1043834336 | Daniel Sheldon | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-06-02 |
| 1710500780 | Ferdinand Pontejos | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| 1972126969 | Eric Hugenberg | Pharmacist | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376956946 | Rachel Lewis | Pediatrics | 30 Prospect Ave, Picu, Hackensack, NJ 07601-1915 | 2014-06-11 |
| 1528326980 | Amy L. Chirico | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601 | 2012-04-24 |
| 1346458007 | Pediatric Intensive Care Associates, LLC | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2007-05-18 |
| 1457480113 | Bruce Ira Friedman | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2007-03-05 |
| 1841366374 | Pediatric Intensive Care Associates, P.C. | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2006-11-27 |
| 1063586485 | Stephen Percy Jr. | Pediatrics | 30 Prospect Ave, Hackensack University Medical Center, Hackensack, NJ 07601-1914 | 2006-11-17 |
| 1740237759 | Shira Jolene Gertz | Pediatrics | 30 Prospect Ave, Suite 900, Hackensack, NJ 07601-1914 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821174558 | Meena Kalyanaraman | Pediatrics | 201 Lyons Ave # C-5, Newark, NJ 07112-2027 | 2006-10-27 |
| 1568705051 | Maria Luisa Escobar | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2013-04-03 |
| 1134421530 | Abigail Hodges Walsh | Pediatrics | 94 Old Short Hills Rd, Livingston, NJ 07039 | 2010-11-17 |
| 1356671887 | Colin Russell O'reilly | Pediatrics | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2010-01-06 |
| 1396074456 | Michael Keenaghan | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2009-12-17 |
| 1043449671 | Mario Charles Colletti | Pediatrics | 703 Main St, Paterson, NJ 07503 | 2009-07-02 |
| 1104060102 | Amit C Misra | Pediatrics | 300 Second Avenue, Long Branch, NJ 07740 | 2009-04-22 |
| 1952544272 | Ma. Bernardita Ricafort Gamallo | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2009-04-16 |
| 1780831867 | Sumon Kumar Das | Pediatrics | 201 Lyons Ave, Ste C5, Newark, NJ 07112-2027 | 2008-08-20 |
| 1083876106 | Hariprem Rajasekhar | Pediatrics | 1 Robert Wood Johnson Pl, Meb 3rd Floor, New Brunswick, NJ 08901-1928 | 2008-06-30 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.