Cathedral Ledge Aesthetics and Wellness

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CATHEDRAL LEDGE AESTHETICS AND WELLNESS

Practice address

53 Technology LN Ste 105
Conway, NH 03818-0299

Phone

(603) 662-2557

NPI assigned

Nov 6, 2023

Last updated

Jul 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sohaib SiddiquiNPI 1073712725

Title

Owner

Phone

(603) 662-2557

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sohaib Siddiqui, MD

  • Family Medicine Physician
  • Conway, NH
  • NPI 1073712725
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1083487599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038180308",
            "telephone_number": "603-662-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 TECHNOLOGY LN STE 105",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038180299",
            "telephone_number": "603-662-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHEDRAL LEDGE AESTHETICS AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SOHAIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-662-2557"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Kilegle Buchanana
• Cairn Integrative Psychiatry
• Lauren Campbell
• Michael Francis Campbell
• Jamie Carrier, LADC, DTR, MA
• Valeda Cerasale
• Lani Chandler
• Mark R Chaput, PT
• Martin Leo Chaput, D.D.S.
• Henry G. Cheney Jr., D.M.D.

• General Practice Physician in Conway, NH
• Providers in Conway, NH by specialty
• General Practice Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.