Jordan R Siegel, is a
Student In An Organized Health Care Education/training Program based in New York, New York. Jordan R Siegel is licensed to practice in * (Not Available) (license number ) and his current practice location is
423 E 23rd St, New York, New York. He can be reached at his office (for appointments etc.) via phone at
(305) 575-7000.
NPI number for Jordan R Siegel is 1194385161 and his current mailing address is 10821 Willow Run Ct, Potomac, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194385161.
Healthcare Provider's Profile
Full Name | Jordan R Siegel |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 423 E 23rd St, New York, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194385161
- Provider Enumeration Date: 06/20/2019
- Last Update Date: 07/06/2021
Medical Identifiers
Medical identifiers for Jordan R Siegel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194385161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 16775 (Maryland) | Secondary |
1223G0001X | Dentist - General Practice | DN23969 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan R Siegel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jordan R Siegel, 10821 Willow Run Ct, Potomac, MD 20854-2581 Ph: (202) 486-3747 | Jordan R Siegel, 423 E 23rd St, New York, NY 10010-5011 Ph: (305) 575-7000 |
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