Active NPI
Saima Siddiqui, M.D.
- Neurology Physician
- East Setauket, NY
National Provider Identifier
1205152741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD452531
- Practice address
- 179 N Belle Mead Rd
East Setauket, NY 11733-3528 - Phone
- (631) 444-2599
- NPI assigned
- Apr 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 290634 | NY | |
| Neurology Physician | 2084N0400X | MD452531 | PA | Primary |
Addresses
Primary practice location
179 N Belle Mead Rd
East Setauket, NY 11733-3528
Mailing address
HSC T12-020
Stony Brook, NY 11794-0001
Phone (631) 444-2599
Other practice location 1
201 Mary Higginson Ln
Suite 2
Uniontown, PA 15401-2658
Phone (724) 437-4232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102968447 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290634 | NY | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1205152741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HSC T12-020",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117940001",
"telephone_number": "631-444-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 N BELLE MEAD RD",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333528",
"telephone_number": "631-444-2599"
}
],
"practiceLocations": [
{
"address_1": "201 Mary Higginson Ln",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Uniontown",
"state": "PA",
"postal_code": "154012658",
"country_code": "US",
"telephone_number": "724-437-4232",
"fax_number": "724-437-4636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "SAIMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "290634",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD452531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102968447",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.