Active NPI
Siddharth Verma, DO, JD
- Gastroenterology Physician
- Newark, NJ
National Provider Identifier
1285892463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MB09979400
- Practice address
- 185 S Orange Ave # Msbh538
Newark, NJ 07103-2757 - Phone
- (973) 972-5252
- Fax
- (973) 972-3144
- NPI assigned
- May 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 263012-1 | NY | |
| Hospitalist Physician | 208M00000X | 2009-01403 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Gastroenterology Physician | 207RG0100X | 25MB09979400 | NJ | Primary |
Addresses
Primary practice location
185 S Orange Ave # Msbh538
Newark, NJ 07103-2757
Mailing address
241 Brower CT
West New York, NJ 07093-8349
Other practice location 1
506 6th St
Brooklyn, NY 11215-3609
Phone (718) 780-3851
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 Osteopathy, Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263012 | NY | MD | Licensed Practical Nurse |
| 25MB09979400 | NJ | MD | Gastroenterology Physician |
| 263012-1 | NY | MD | Gastroenterology Physician |
| 2009-01403 | NC | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1285892463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 BROWER CT",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070938349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 S ORANGE AVE # MSBH538",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032757",
"telephone_number": "973-972-5252",
"fax_number": "973-972-3144"
}
],
"practiceLocations": [
{
"address_1": "506 6th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112153609",
"country_code": "US",
"telephone_number": "718-780-3851",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERMA",
"first_name": "SIDDHARTH",
"name_prefix": "Dr.",
"credential": "DO, JD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "263012-1",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2009-01403",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MB09979400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.