DR. MICHELLE LEIGH SIRAK (NPI# 1548420136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548420136 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE LEIGH SIRAK |
| Credential | M.D. |
| Practice Address |
100 Madison Ave # 29 Morristown NJ 07960-6136 |
| Mailing Address |
Practice Associates Medical Po Box 416457 Boston MA 02241-6457 |
| Practice Telephone | 9739715152 |
| Practice Fax Number | 9732902388 |
| Mailing Telephone | 9739715152 |
| Mailing Fax Number | 9732902388 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
25MA09096300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
100 MADISON AVE # 29 |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-6136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942448717 | Simona Horak Nativ | Pediatrics | 100 Madison Ave # 29, Morristown, NJ 07960-6136 | 2009-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558811372 | Pediatric Rehabilitation Associates, LLC | Physical Medicine & Rehabilitation | 92 Brick Rd Fl 3, Marlton, NJ 08053-2177 | 2016-10-04 |
| 1477808947 | Michelle Wallace | Physical Medicine & Rehabilitation | 75 Norman Pl, Tenafly, NJ 07670-2537 | 2012-07-19 |
| 1639424252 | Amanda Leadem | Physical Medicine & Rehabilitation | 1007 Inland Rd, Forked River, NJ 08731-5209 | 2012-07-19 |
| 1619061652 | Angela M D'alessandro | Physical Medicine & Rehabilitation | 505 Goffle Rd, Ridgewood, NJ 07450-4027 | 2006-10-03 |
| 1902896889 | Connie D Domingo | Physical Medicine & Rehabilitation | 92 Brick Rd, 3rd Floor, Marlton, NJ 08053-2177 | 2005-10-24 |
| 1245493675 | Katherine Saltstein Bentley | Physical Medicine & Rehabilitation | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2008-07-07 |
| 1467547489 | Children's Healthcare Associates of New Jersey PC | Physical Medicine & Rehabilitation | 1012 Laurel Oak Rd, Chop Care Network At Voorhees Scc, Voorhees, NJ 08043-3505 | 2006-10-04 |
| 1174561781 | Priscilla D Kaszubski | Physical Medicine & Rehabilitation | 703 Main St, St. Joseph's Regional Medical Center, Paterson, NJ 07503-2621 | 2006-06-04 |
| 1255307633 | Michael Armento | Physical Medicine & Rehabilitation | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2006-02-27 |
| 1447226261 | Michele E Fantasia | Physical Medicine & Rehabilitation | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2006-02-23 |
| Find all providers with the same taxonomy | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
Please comment or provide details below to improve the information on DR. MICHELLE LEIGH SIRAK.
| 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.