Naushin Siddiqui Physician PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

220368 Issued in NY

Legal business name

NAUSHIN SIDDIQUI PHYSICIAN PC

Practice address

7729 141St St
Flushing, NY 11367-3293

Phone

(718) 380-8810

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jamal Ahmed Siddiqui, M.D.NPI 1598795361

Title

Owner

Phone

(718) 380-8810

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Naushin Siddiqui, M.D.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1639224561
  Medicare reassignment Care Compare group NPD
• Jamal Ahmed Siddiqui, M.D.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1598795361
  Care Compare group NPD Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053444638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7729 141ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673293",
            "telephone_number": "718-380-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7729 141ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673293",
            "telephone_number": "718-380-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUSHIN SIDDIQUI PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-380-8810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220368",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.