Active NPI
Javed I Siddiqi, MD
- Obstetrics & Gynecology Physician
- Methuen, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 56836
- Practice address
- 380 Merrimack St
Suite 2C
Methuen, MA 01844-5870 - Phone
- (978) 689-0033
- Fax
- (978) 682-0033
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 56836 | MA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 7659 | NH |
Addresses
Primary practice location
380 Merrimack St
Suite 2C
Methuen, MA 01844-5870
Mailing address
380 Merrimack St
Suite 2C
Methuen, MA 01844-5870
Phone (978) 689-0033
Other practice location 1
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3013154 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
88 McGregor St
Suite 201
Manchester, NH 03102-3733
Phone (603) 314-7595
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7659 | NH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Healthcare Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Appledore Medical Group, Inc. | Current | Accepting new patients | |
| Appledore Medical Group, Inc | Current | Accepting new patients | |
| Lawrence General Hospital | Past | Accepting new patients | |
| Valley Regional Medical Services | Past | Accepting new patients | |
| Steward Holy Family Hospital, Inc. | Past | Accepting new patients | |
| Heywood Medical Group Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
88 McGregor St
Ste 201
Manchester, NH 03102
Phone (603) 314-7595
330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242
330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- javed.siddiqi@direct.signature.masshiway.net
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.
-
- Internal Medicine Physician
- Portsmouth, NH
- NPI 1720077167
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
Obstetrics & Gynecology
-
- General Practice Physician
- Gardner, MA
- NPI 1699762286
Obstetrics & Gynecology
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
-
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
- Family Medicine Physician
- North Hampton, NH
- NPI 1174512693
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
- General Acute Care Hospital
- Methuen, MA
- NPI 1033421664
-
- Specialist
- Methuen, MA
- NPI 1780675538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1306815998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 MERRIMACK ST",
"address_2": "SUITE 2C",
"city": "METHUEN",
"state": "MA",
"postal_code": "018445870",
"telephone_number": "978-689-0033",
"fax_number": "978-682-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 MERRIMACK ST",
"address_2": "SUITE 2C",
"city": "METHUEN",
"state": "MA",
"postal_code": "018445870",
"telephone_number": "978-689-0033",
"fax_number": "978-682-0033"
}
],
"practiceLocations": [
{
"address_1": "680 Centre St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023023308",
"country_code": "US",
"telephone_number": "508-941-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDDIQI",
"first_name": "JAVED",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "56836",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NH",
"license": "7659",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3013154",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.