Midwood General and Physical Medicine, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

260559 Issued in NY

Legal business name

MIDWOOD GENERAL AND PHYSICAL MEDICINE, P.C.

Practice address

1122 Coney Island Ave
Suite 205
Brooklyn, NY 11230-2345

Phone

(718) 725-8341

NPI assigned

Feb 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Farruq Siddiqui, M.D.

Title

Owner

Phone

(646) 725-8283

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1174895429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 NEWBERRY AVE",
            "address_2": "1C",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044144",
            "telephone_number": "646-725-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CONEY ISLAND AVE",
            "address_2": "SUITE 205",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302345",
            "telephone_number": "718-725-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWOOD GENERAL AND PHYSICAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "FARRUQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-725-8283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "260559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwood Development Corporation
• Midwood Diagnostics Inc
• Midwood Dialysis, LLC
• Midwood Family Doctor, PLLC
• Midwood Family Vision
• Midwood Medical Care, P.C.
• Midwood Medical P.C.
• Midwood Mobile Diagnostics, Inc.
• Midwood Nephrology Care PLLC
• Midwood Obstetrics and Gynecology, PLLC

• Physical Medicine & Rehabilitation Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.