Syed a. Siddiq, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA062636 Issued in NJ

Legal business name

SYED A. SIDDIQ, MD, LLC

Practice address

190 Greenbrook Rd
North Plainfield, NJ 07060-3903

Phone

(908) 756-5206

Fax

(908) 756-5214

NPI assigned

Jun 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Syed Azhar Siddiq, M.D.

Title

Physician/Proprietor

Phone

(908) 756-5206

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023056561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GREENBROOK RD",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603903",
            "telephone_number": "908-756-5206",
            "fax_number": "908-756-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GREENBROOK RD",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603903",
            "telephone_number": "908-756-5206",
            "fax_number": "908-756-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED A. SIDDIQ, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIDDIQ",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "AZHAR",
        "authorized_official_title_or_position": "PHYSICIAN/PROPRIETOR",
        "authorized_official_telephone_number": "908-756-5206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA062636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6680909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in North Plainfield, NJ
• Providers in North Plainfield, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.