Marjilla Seddiq

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101263319 Issued in VA

Practice address

355 Bard Ave
Room 314
Staten Island, NY 10310-1664

Phone

(718) 818-4636

Fax

(718) 818-2739

NPI assigned

Mar 26, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1073930152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 NELLIE WHITE LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220323821",
            "telephone_number": "703-309-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "address_2": "ROOM 314",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "718-818-4636",
            "fax_number": "718-818-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDDIQ",
        "first_name": "MARJILLA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101263319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Seccafico
• Ndeye Wore Seck, LPN
• Rosemary Seco
• Second Home Sleep Lab Inc
• Nancy C Seddio, PH D RNCS
• Emily Rachel Seder, SLP
• Mark Sedhom
• Rossana Sedita, M.A., CCC-SLP
• Miriam Sedrak, MD
• Harshasree Seelam, MD

• Pediatrics Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.