Afzaal Ahmad Siddiqui, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

25MA07033800 Issued in NJ

Practice address

Garden State Endoscopy & Surgery Center
1700 Galloping Hill Road
Kenilworth, NJ 07033

Phone

(908) 241-8900

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Anesthesiology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

York Anesthesiologists, PLLCGroup PAC ID 3072404805, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aas9053@direct.nyp.org

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

• York Anesthesiologists PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1508947441
  Medicare reassignment Care Compare group NPD
• Morris Avenue Endoscopy LLC

  dba Garden State Endoscopy Anesthesia

  • Anesthesiology Physician
  • Mountainside, NJ
  • NPI 1184778060
  Medicare reassignment NPD
• Singular Anesthesia Services, PLLC

  • Anesthesiology Physician
  • Hartsdale, NY
  • NPI 1881086718
  Medicare reassignment NPD
• Morris Avenue Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Mountainside, NJ
  • NPI 1780747394
  NPD (past)
• Northern Valley Anesthesiology, P.a.

  • Anesthesiology Physician
  • Englewood, NJ
  • NPI 1245289487

  Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255467064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 KING PL",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242943",
            "telephone_number": "201-784-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GARDEN STATE ENDOSCOPY & SURGERY CENTER",
            "address_2": "1700 GALLOPING HILL ROAD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "07033",
            "telephone_number": "908-241-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "AFZAAL",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA07033800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Grace Santorelli, LSW
• Schering-Plough
• Milind Narendra Shah, M.D.
• Sanjay P Shah
• Melanie Shaw, LCSW
• Edward Skeffington III, M.A., BCBA
• Ava Slatkin, MD
• Claudia Smeriglio, MT
• David Allen Steele, DMD
• John T Strony, M.D.

• Pain Medicine (Anesthesiology) Physician in Kenilworth, NJ
• Providers in Kenilworth, NJ by specialty
• Pain Medicine (Anesthesiology) 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.