Individual provider Active NPI

Majeed Siddiqui, M.D; FACRRM; D.C.N;

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1063657591
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
250773 Issued in NY
Practice address
155 Lawn Ave
Buffalo, NY 14207-1816
Phone
(716) 875-2904
Fax
(716) 332-0917
NPI assigned
Dec 12, 2008
Last updated
Jan 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 250773 NY Primary
Internal Medicine Physician 207R00000X 250773 NY

Addresses

Primary practice location

155 Lawn Ave
Buffalo, NY 14207-1816

Mailing address

389 Alberta Dr
Amherst, NY 14226-1302
Phone (201) 486-5573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090202000521 NY Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Hospitalist 0941364160 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
250773NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zulkharnain Medical Services, PC Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients
Wny Medical PC Family Medicine CurrentSince Jan 13, 2014 Accepting new patients
Kenmore Immediate Care Corp Inc Past Accepting new patients
Irshad Ali, MD Internal Medicine Past Accepting new patients
Waterfront Operations Associates LLC Past Accepting new patients
Community Care Physicians, PLLC Family Medicine Past Accepting new patients
Delaware Operations Assoc LLC Past Accepting new patients
Community Care Physicians, PC Family Medicine PastSince Jan 1, 1998 Accepting new patients

Locations

1263 Delaware Ave
Buffalo, NY 14209
Phone (716) 219-3636

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

147 Reist St
Williamsville, NY 14221
Phone (716) 633-5400

Interoperability endpoints

  • Direct secure messaging: majeeds@wnymedical.medentdirect.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1063657591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 ALBERTA DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261302",
            "telephone_number": "201-486-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LAWN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071816",
            "telephone_number": "716-875-2904",
            "fax_number": "716-332-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MAJEED",
        "name_prefix": "Dr.",
        "credential": "M.D; FACRRM; D.C.N;",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-12",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "250773",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.