SCOTT L SIEGAL (NPI# 1164416590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164416590 |
| Entity Type | Individual |
| Full Name | SCOTT L SIEGAL |
| Credential | DO |
| Practice Address |
1 Brace Road Suite C Cherry Hill NJ 08034-2624 |
| Practice Telephone | 8564828900 |
| Practice Fax Number | 8564828943 |
| Mailing Telephone | 8564828900 |
| Mailing Fax Number | 8564828943 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2013-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MB059456 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 72258730 | 05 |
| Street Address |
1 BRACE ROAD SUITE C |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08034-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747257 | Richard M Gomberg | Internal Medicine | 1 Brace Road, Suite C, Cherry Hill, NJ 08034-2624 | 2005-08-18 |
| 1255307591 | Craig S. Kimmel | Family Medicine | 1 Brace Road, Suite B, Cherry Hill, NJ 08034 | 2006-02-27 |
| 1437120078 | Walter Klodnicki | Internal Medicine | 1 Brace Road, Suite C, Cherry Hill, NJ 08034-2624 | 2006-01-31 |
| 1114998218 | Steven Fox | Internal Medicine | 1 Brace Road, Suite C, Cherry Hill, NJ 08034-2624 | 2006-01-28 |
| 1497726764 | Michael Harkins | Internal Medicine | 1 Brace Road, Suite C, Cherry Hill, NJ 08034-2624 | 2006-01-27 |
| 1255301552 | Paul K Davis | Surgery | 1 Brace Road, Suite C, Cherry Hill, NJ 08034 | 2006-01-26 |
| 1285613133 | Devender N Akula | Internal Medicine | 1 Brace Road, Suite C, Cherry Hill, NJ 08034-2624 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1215455225 | Arc of Camden County Millhurst Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1144748120 | Arc of Camden County Chanticleer Drive Supported Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 712 Chanticleer Drive, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1124558689 | 1 Choice Home Health Care, LLC | Home Health | 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 | 2017-06-18 |
| 1205362621 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Wayland Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1598291940 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Brookdale Dr, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1861928285 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Portsmouth Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1265967954 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8 Farmhouse Ln, Maple Shade, NJ 08034 | 2017-05-01 |
| 1023543709 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Cranford Rd, Cherry Hill, NJ 08034 | 2017-05-01 |
| 1588199269 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Colgate Drive, Cherry Hill, NJ 08034 | 2017-05-01 |
| Find all providers in zip 08034 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255468922 | Cardiac Diagnostic Center of Southern New Jersey | Internal Medicine | 1840 Frontage Road Mark 70 Suite 104, Cardiac Diagnostic Center of Southern New Jersey, Cherry Hill, NJ 08034-2228 | 2007-02-28 |
| 1174502462 | Reginald Blaber | Internal Medicine | 1 Brace Rd Ste C4, Cherry Hill, NJ 08034-2600 | 2006-01-13 |
| 1508845124 | Michael Reichman | Internal Medicine | 63 Kresson Rd, Suite #101, Cherry Hill, NJ 08034-3200 | 2006-01-12 |
| 1497747257 | Richard M Gomberg | Internal Medicine | 1 Brace Road, Suite C, Cherry Hill, NJ 08034-2624 | 2005-08-18 |
| 1730171505 | Jay L Rubenstone | Internal Medicine | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2005-08-18 |
| 1184987604 | Peter Bulik | Internal Medicine | 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 | 2012-06-19 |
| 1992034037 | Blaber Cardiology At Lourdes Medical Associates | Internal Medicine | 1 Brace Rd, Suite C, Cherry Hill, NJ 08034-2600 | 2009-12-21 |
| 1841440377 | Bryan Saia | Internal Medicine | 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 | 2008-09-20 |
| 1578724324 | Jason Anthony Smith | Internal Medicine | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2008-06-24 |
| 1154594224 | Kristofer Hillegas | Internal Medicine | 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 | 2008-04-09 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08034 |
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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.