Nafeesa Siddiqui, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA043041 Issued in NJ

Practice address

510 Hamburg Tpke
Suite E106
Wayne, NJ 07470-2025

Phone

(973) 904-3161

Fax

(973) 904-3163

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225107121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 WASHINGTON VALLEY RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694823",
            "telephone_number": "973-895-3336",
            "fax_number": "973-904-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HAMBURG TPKE",
            "address_2": "SUITE E106",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702025",
            "telephone_number": "973-904-3161",
            "fax_number": "973-904-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "NAFEESA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA043041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7833105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Kathleen Short
• Arkadiy Shraytman, D.O.
• Prayank Shrestha, DPM
• Hervey Silas Sicherman, MD
• Imtiazuddin M Siddiqui, MD
• Stuart L Siepser, MD
• Signal Neuromonitoring, LLC
• Colin Silk
• Scott W Silodor, M.D.
• Ani Silvani

• Psychiatry Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.