Individual provider Active NPI

Araj Sidki, D.O.

  • Interventional Pain Medicine Physician
  • Plainview, NY
National Provider Identifier
1285014126
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
297749 Issued in NY
Practice address
651 Old Country Rd
Plainview, NY 11803-4938
Phone
(516) 681-8822
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 297749 NY
Interventional Pain Medicine Physician 208VP0014X 297749 NY Primary

Addresses

Primary practice location

651 Old Country Rd
Plainview, NY 11803-4938

Mailing address

651 Old Country Rd
Plainview, NY 11803-4938

Other practice location 1

200 Belle Terre Rd
Port Jefferson, NY 11777
Phone (631) 474-6000

Other practice location 2

200 Belle Terre Rd
Port Jefferson, NY 11777
Phone (631) 474-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20190424001021 NY Practitioner - Physical Medicine and Rehabilitation 5193062578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Touro Un Col of Osteopathic Medicine, New York, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Central Orthopedic Group L L PGroup PAC ID 3375432362, 23 clinicians

Practice addresses (Care Compare)

651 Old Country Rd
Plainview, NY 11803-4938
Phone (516) 681-8822

Merit-based Incentive Payment System (MIPS)

Final score
23.23 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
77.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Central Orthopedic Group L L P CurrentSince Aug 1, 2022 Accepting new patients
The Central Orthopedic Group L L P CurrentSince Aug 1, 2022 Accepting new patients
The Central Orthopedic Group L L P Past Accepting new patients

Locations

5840 Merrick Rd
Massapequa, NY 11758
Phone (516) 681-8822

651 Old Country Rd
Plainview, NY 11803
Phone (516) 333-7200

Interoperability endpoints

  • Direct secure messaging: araj.sidki@983.chartlogic.direct-ci.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1285014126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034938",
            "telephone_number": "516-681-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Belle Terre Rd",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "11777",
            "country_code": "US",
            "telephone_number": "631-474-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Belle Terre Rd",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "11777",
            "country_code": "US",
            "telephone_number": "631-474-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDKI",
        "first_name": "ARAJ",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "297749",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "297749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.