Provider Demographics
NPI:1164821500
Name:SIEGEL, AARON J (MSN, APN, AGPCNP-C)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:J
Last Name:SIEGEL
Suffix:
Gender:M
Credentials:MSN, APN, AGPCNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 LAKESIDE BLVD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:07850-1144
Mailing Address - Country:US
Mailing Address - Phone:973-398-6300
Mailing Address - Fax:
Practice Address - Street 1:135 US HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:BUDD LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07828-2546
Practice Address - Country:US
Practice Address - Phone:973-691-9400
Practice Address - Fax:888-214-9518
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP014344363LA2200X, 363LG0600X
NJ26NJ00521700363LA2200X, 363LG0600X
NJ26NR12665800163W00000X
PARN665530163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse