Nasreen Siddiqui Sarfaraz, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0219479 Issued in NY

Practice address

19909 Hillside Ave
Hollis
Hollis, NY 11423-2130

Phone

(718) 454-1732

Fax

(718) 454-1564

NPI assigned

Aug 13, 2006

Last updated

Jan 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Nasreen Siddiqui Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Pathology

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

• Community Medical Care PC

  • Family Medicine Physician
  • Hollis, NY
  • NPI 1366657991
  NPD Authorized official
• Nimra Sarfaraz DO PLLC

  • Nephrology Physician
  • Hollis, NY
  • NPI 1720478373
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1306858469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 DALEY ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403604",
            "telephone_number": "718-454-1732",
            "fax_number": "718-454-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19909 HILLSIDE AVE",
            "address_2": "HOLLIS",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232130",
            "telephone_number": "718-454-1732",
            "fax_number": "718-454-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARFARAZ",
        "first_name": "NASREEN",
        "middle_name": "SIDDIQUI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "0219479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02129179",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NASREEN",
            "last_name": "SIDDIQUI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• S & L Med Solutions Inc
• Sajid Malik MD PC (Malik Eye Care)
• Bibi Faleena Khan Samad, NP
• Angelo Puno Samano
• Mia-Knoll Santos, FNP-BC
• Ann Sarner, OTR
• Linda Savino
• Jason Schaefer, LMHC
• Ralph Wilhelm Schrader, OTR/L
• Yael Robin Schreiber, MS ED

• Family Medicine Physician in Hollis, NY
• Providers in Hollis, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.

Verify at the official NPI Registry.