Sidaoui Corp

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SIDAOUI CORP

Practice address

27 Kingsland Ave Apt 2L
Brooklyn, NY 11211-1551

Phone

(407) 446-3323

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Sidaoui, MDNPI 1346680790

Title

President

Phone

(407) 446-3323

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Joseph A Sidaoui, M.D.

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1346680790
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1164052908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 KINGSLAND AVE APT 2L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111551",
            "telephone_number": "407-446-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 KINGSLAND AVE APT 2L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111551",
            "telephone_number": "407-446-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDAOUI CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "SIDAOUI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-446-3323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "293644",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NewYrok",
            "affiliation": "N",
            "address_1": "27 Kingsland Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112111551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raizy Sicherman, M.A.
• Roizy Sicherman
• Sarah Sicherman, B.S.
• Maria Elena Godoy Siciliano, RD, CDN
• Ian Sicks
• Joseph A Sidaoui, M.D.
• Siddharth T.Pandya
• Yasmin Siddig
• Miriam Siddiq, LCSW
• Asad Riaz Siddiqi, D.O.

• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery Physician in New York

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