Individual provider Active NPI

Siddharth Verma, DO, JD

  • Gastroenterology Physician
  • Newark, NJ
National Provider Identifier
1285892463
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MB09979400 Issued in NJ
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
263012NYMDLicensed Practical Nurse
25MB09979400NJMDGastroenterology Physician
263012-1NYMDGastroenterology Physician
2009-01403NCMDHospitalist 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.

Verify at the official NPI Registry.