Individual provider Active NPI

Iffat Apa Sadique, MD

  • Family Medicine Physician
  • Jamaica, NY
National Provider Identifier
1104845155
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
230830-1 Issued in NY
Practice address
16806 Hillside Ave
Jamaica, NY 11432-4341
Phone
(718) 739-7400
Fax
(718) 934-1449
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 230830-1 NY Primary

Addresses

Primary practice location

16806 Hillside Ave
Jamaica, NY 11432-4341

Mailing address

16806 Hillside Ave
Jamaica, NY 11432-4341
Phone (718) 739-7400

Other identifiers 1

IdentifierTypeStateIssuer
02585142MedicaidNY

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
I20050115000024 NY Practitioner - Family Practice 2961451075 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16806 Hillside Ave
Jamaica, NY 11432-4341
Phone (718) 739-7400

3099 Coney Island Ave
Lowr Level
Brooklyn, NY 11235-6305
Phone (718) 934-1400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230830-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Urgent Care, PLLC CurrentSince Jul 27, 2018 Accepting new patients
Prime Care Medical of Brighton PC Family Medicine CurrentSince Jan 1, 2009 Accepting new patients
Cardiology Solutions, PLLC PastSince Jul 13, 2009 Accepting new patients

Locations

3099 Coney Island Ave
Lowr
Brooklyn, NY 11235
Phone (718) 934-1400

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1104845155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16806 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324341",
            "telephone_number": "718-739-7400",
            "fax_number": "718-934-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16806 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324341",
            "telephone_number": "718-739-7400",
            "fax_number": "718-934-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIQUE",
        "first_name": "IFFAT",
        "middle_name": "APA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "230830-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02585142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.