DR. JEANNETTE ROSA WONG-SIEGEL MD
NPI 1104310168
Pediatrics - Pediatric Cardiology in New York, NY

Q: 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.

Q: What is Jeannette Wong-siegel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Active since June 21, 2018PECOS Enrolled

3959 BROADWAY, NEW YORK, NY 10032(212) 305-8529 Get Directions Write a Review

NPPES record last updated: June 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2024, Jul 19, 2021, May 18, 2021 and 2 more (5 updates tracked since 2018).

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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

NPI1104310168

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameDR. JEANNETTE ROSA WONG-SIEGELCredential: MD

Location Address3959 BROADWAYNew York, NY 10032-1559

Mailing AddressWusm Peds Cardiology, 1 Childrens Pl Cb 8116Saint Louis, MO 63110-1002 · (314) 454-6095 · Fax (314) 454-2561

Phone(212) 305-8529

Sole ProprietorNo

Enumeration DateJune 21, 2018

Last NPPES UpdateJune 8, 20245 updates tracked since enumeration

NPPES CertifiedJune 8, 2024

✔ NPI 1104310168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Licenses✔ Licensed in NY · 330228✔ Licensed in MO · 2019029230

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

3959 BROADWAY, New York, NY 10032

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Secondary Practice Location 1

Location 11 Childrens Pl CB8116Saint Louis, MO 63110-1002 · Phone (314) 454-6095 · Fax (314) 454-2561

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. PAMELA ISABEL GOOD M.D.

Pediatrics

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-8504

HAE LIN SON

Nurse Practitioner (Neonatal)

3959 BROADWAY
NEW YORK, NY 10032

New York County (201) 696-5960

ELIZABETH ANN BADER

Physician Assistant

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-5437

HYO JIN CHO MD

Student in an Organized Health Care Education/Training Program

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-8504

DR. DAVID RUBENSTEIN

Pediatrics (Neonatal-Perinatal Medicine)

3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032

New York County (212) 304-7250

MS. MEREDITH GAROD-MUSIC CPNP

Nurse Practitioner (Pediatrics)

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 342-8530

EVIANNA CRUZ HERRERA MD/MPH

Pediatrics (Pediatric Gastroenterology)

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-5903

SARA BOMBONATO OTR/L

Occupational Therapist

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-5827

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.

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.