Individual provider Active NPI

Iqbal H Siddiqui, D.O

  • Emergency Medicine Physician
  • East Hanover, NJ
National Provider Identifier
1285969980
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MB86729 Issued in NJ
Practice address
9 Tower Dr
East Hanover, NJ 07936-3319
Phone
(973) 428-4773
NPI assigned
Oct 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MB86729 NJ Primary

Addresses

Primary practice location

9 Tower Dr
East Hanover, NJ 07936-3319

Mailing address

9 Tower Dr
East Hanover, NJ 07936-3319
Phone (973) 428-4773

Other identifiers 1

IdentifierTypeStateIssuer
0219371MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100204000786 NJ Practitioner - Emergency Medicine 7416090055 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Emergency Medical Associates LLCGroup PAC ID 0547334427, 20 clinicians
Oak Tree Healthcare PAGroup PAC ID 0941695860, 8 clinicians
Hackensack Meridian Urgent Care PCGroup PAC ID 2769751270, 50 clinicians

Practice addresses (Care Compare)

1000 Galloping Hill Rd
Union, NJ 07083-7989
Phone (954) 939-5000

115 Belmont Ave
Belleville, NJ 07109-1993
Phone (973) 310-7000

135 Hwy 35
Eatontown, NJ 07724-1813
Phone (848) 308-4911

Hospital & facility affiliations

  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB86729NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Mar 16, 2010 Accepting new patients
Next Door MD LLC CurrentSince May 21, 2023 Accepting new patients
Nes Georgia Inc Emergency Medicine CurrentSince Dec 27, 2017 Accepting new patients
Apex Radiology LLC CurrentSince May 1, 2024 Accepting new patients
Nes Georgia Inc Emergency Medicine CurrentSince Dec 27, 2017 Accepting new patients
Orange Physicians PC CurrentSince May 21, 2023 Accepting new patients
Oak Tree Healthcare PA CurrentSince Mar 1, 2022 Accepting new patients
Union Emergency Medical Associates LLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Oak Tree Healthcare PA Past Accepting new patients

Locations

115 Belmont Ave
Belleville, NJ 07109
Phone (973) 310-7000

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

205 S Essex Ave
Ste 201
Orange, NJ 07050
Phone (973) 922-1100

205 S Essex Ave
Ste 202
Orange, NJ 07050
Phone (973) 420-9000

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1285969980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 TOWER DR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363319",
            "telephone_number": "973-428-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 TOWER DR",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363319",
            "telephone_number": "973-428-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "IQBAL",
        "middle_name": "H",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MB86729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219371",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

Verify at the official NPI Registry.