DR. JOHN I. SIEKIERKA (NPI# 1134175292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134175292 |
| Entity Type | Individual |
| Full Name | DR. JOHN I. SIEKIERKA |
| Credential | DO |
| Practice Address |
90 Brick Rd Marlton NJ 08053-2177 |
| Mailing Address |
307 S Evergreen Ave Woodbury NJ 08096-2739 |
| Practice Telephone | 8563556760 |
| Practice Fax Number | 8563556061 |
| Mailing Telephone | 8566864300 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25MB05718100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5181305 | 05 |
| Street Address |
90 BRICK RD |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397699 | Bruce Delarso | Registered Nurse | 90 Brick Rd, Marlton, NJ 08053 | 2005-06-27 |
| 1679050496 | Gianna Orsimarsi | Nurse Practitioner | 90 Brick Rd, Marlton, NJ 08053-2177 | 2018-07-24 |
| 1356851455 | Regina Lynn Riera | Specialist/Technologist, Other | 90 Brick Rd, Marlton, NJ 08053-2177 | 2017-10-03 |
| 1669886768 | Stephen Stafford | Emergency Medicine | 90 Brick Rd, Marlton, NJ 08053-2177 | 2014-06-17 |
| 1265844054 | Ramy Alber Saleh | Emergency Medicine | 90 Brick Rd, Marlton, NJ 08053 | 2014-05-28 |
| 1629403472 | Jaclyn Graham | Registered Nurse | 90 Brick Rd, Marlton, NJ 08053 | 2013-09-12 |
| 1427396209 | Kwan Thanaporn Rivlin | Internal Medicine | 90 Brick Rd, Hospitalist Department, Marlton, NJ 08053-2177 | 2013-01-29 |
| 1689918104 | Cyndi A Cornwell | Nurse Practitioner | 90 Brick Rd, Virtua Hospital-south, Marlton, NJ 08053-2177 | 2012-11-21 |
| 1386998979 | Laura A Decker | Nurse Anesthetist, Certified Registered | 90 Brick Rd, Marlton, NJ 08053-2177 | 2012-11-03 |
| 1679837611 | Irfan Asim Malik | Internal Medicine | 90 Brick Rd, Marlton, NJ 08053-2177 | 2012-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275799827 | Carmen E Ruiz Valcarcel | Emergency Medicine | Route 73 At Brick Road, Virtua Health, Marlton, NJ 08053-0000 | 2008-08-04 |
| 1669886768 | Stephen Stafford | Emergency Medicine | 90 Brick Rd, Marlton, NJ 08053-2177 | 2014-06-17 |
| 1265844054 | Ramy Alber Saleh | Emergency Medicine | 90 Brick Rd, Marlton, NJ 08053 | 2014-05-28 |
| 1114247970 | Erica Fine | Emergency Medicine | 90 Brick Rd, Marlton, NJ 08053-2177 | 2010-06-03 |
| 1740202779 | Marc Flores | Emergency Medicine | 90 Brick Rd, Marlton, NJ 08053-2177 | 2006-07-25 |
| 1669490561 | Mark D. Mathason | Emergency Medicine | 90 Brick Rd, Marlton, NJ 08053-2177 | 2006-07-18 |
| 1770515942 | Robin S Plumer | Emergency Medicine | 90 Brick Rd, Marlton, NJ 08053-2177 | 2006-07-07 |
| 1467492744 | Stuart Richard Solomon | Emergency Medicine | 90 Brick Rd, Marlton, NJ 08053-2177 | 2006-06-07 |
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|---|---|---|---|---|
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| 1124630975 | Dispatchhealth Nj Wagner PC | Emergency Medicine | 50 Tice Blvd Ste A35, Woodcliff Lake, NJ 07677-7681 | 2020-08-21 |
| 1780249987 | New Dawn Wellness and Rehab Center, LLC | Emergency Medicine | 1990 Marlton Pike E Ste 2b, Cherry Hill, NJ 08003-1836 | 2019-05-03 |
| 1184114431 | Jude Mele | Emergency Medicine | 1 Robert Wood Johnson Pl # 338a, New Brunswick, NJ 08901-1928 | 2018-05-12 |
| 1073020269 | Richard Barnett | Emergency Medicine | 1 Robert Wood Johnson Pl Meb 104, New Brunswick, NJ 08901 | 2018-01-09 |
| 1790290740 | Donard Scott Smith | Emergency Medicine | 139 Elmwood Ave, Ho Ho Kus, NJ 07423-1503 | 2017-12-12 |
| 1831617257 | Medexpress Urgent Care - New Jersey, Inc | Emergency Medicine | 10 Cornwell Drive, Bridgeton, NJ 08302-3633 | 2017-09-06 |
| 1205353471 | Medexpress Urgent Care - New Jersey, Inc | Emergency Medicine | 1919 Nj Route 35, Suite 100, Wall, NJ 07719-3512 | 2017-08-28 |
| 1922523802 | Adnan Riaz | Emergency Medicine | 1 Robert Wood Johnson Pl Bldg Room388a, New Brunswick, NJ 08901-1928 | 2017-08-11 |
| 1154843928 | Michelle Chang | Emergency Medicine | 1 Robert Wood Johnson Pl # 389a, New Brunswick, NJ 08901-1928 | 2017-07-12 |
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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.