DR. JEANNETTE ROSA WONG-SIEGEL MD
NPI 1104310168
Pediatrics - Pediatric Cardiology in New York, NY
About Dr. Jeannette Rosa Wong-siegel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEANNETTE ROSA WONG-SIEGEL MD (NPI 1104310168) is an individual pediatric cardiology provider in New York, New York, licensed in New York (330228) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeannette Rosa Wong-siegel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeannette Wong-siegel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10032
NEW YORK, NY 10032
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeannette Wong-siegel's NPI number?
The NPI number for Jeannette Wong-siegel is 1104310168. It was assigned to this individual provider in the NPPES registry on June 21, 2018.
Where is Jeannette Wong-siegel located?
Jeannette Wong-siegel practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-8529.
What is Jeannette Wong-siegel's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Jeannette Wong-siegel enrolled in Medicare?
Yes. Jeannette Wong-siegel is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeannette Wong-siegel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeannette Wong-siegel reassigns Medicare benefits to Trustees Of Columbia University In The City Of New York (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeannette Wong-siegel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeannette Wong-siegel was last updated on June 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jeannette Rosa Wong-Siegel, MD · NPI 1104310168
Pediatric Cardiology physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 21, 2018.
## Identity
- **NPI:** 1104310168 (Entity type: Individual)
- **Enumerated:** June 21, 2018
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 330228 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3959 BROADWAY, New York, NY 10032-1559
- **Phone:** (212) 305-8529
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Trustees Of Columbia University In The City Of New York (NPI 1477068971, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1104310168) · Data from the CMS NPPES public registry.