Individual provider Active NPI

Asma J Sadiq, M.D

  • Developmental - Behavioral Pediatrics Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1316928450
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
178809 Issued in NY
Practice address
661 E. Palisades Avenue
Suite A4
Englewood Cliffs, NJ 07632
Phone
(201) 408-4777
Fax
(201) 408-4661
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 178809 NY
Developmental - Behavioral Pediatrics Physician 2080P0006X 25MA05751400 NJ
Developmental - Behavioral Pediatrics Physician 2080P0006X 178809 NY Primary

Addresses

Primary practice location

661 E. Palisades Avenue
Suite A4
Englewood Cliffs, NJ 07632

Mailing address

661 E. Palisades Avenue
Suite A4
Englewood Cliffs, NJ 07632
Phone (201) 408-4777

Other practice location 1

10 Union Sq E
New York, NY 10003-3314
Phone (212) 844-8324

Other identifiers 2

IdentifierTypeStateIssuer
1316928450OtherNYDEVELOPMENTAL PEDIATRICS
01166861MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181126001887 NJ Practitioner - Pediatric Medicine 4284988528 Reassigns benefits to 1 organization
I20190919000372 NY Practitioner - Pediatric Medicine 4284988528 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05751400NJMDDevelopmental - Behavioral Pediatrics Physician
178809NYMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Children's Specialized Hospital Pediatrics CurrentSince Sep 30, 2018 Accepting new patients
Children' Specialized Hospital CurrentSince Sep 30, 2018 Accepting new patients
Harlem Medical Associates PC CurrentSince Jul 23, 2019 Accepting new patients

Locations

1135 Broad St
Clifton, NJ 07013
Phone (973) 574-8585

150 New Providence Rd
Mountainside, NJ 07092

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

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

Interoperability endpoints

  • Direct secure messaging: asadiq988918@nychhc.direct-ci.com
  • Direct secure messaging: asma.sadiq.1@21097.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1316928450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E. PALISADES AVENUE",
            "address_2": "SUITE A4",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "07632",
            "telephone_number": "201-408-4777",
            "fax_number": "201-408-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E. PALISADES AVENUE",
            "address_2": "SUITE A4",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "07632",
            "telephone_number": "201-408-4777",
            "fax_number": "201-408-4661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Union Sq E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033314",
            "country_code": "US",
            "telephone_number": "212-844-8324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "ASMA",
        "middle_name": "J",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2024-04-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "178809",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NJ",
            "license": "25MA05751400",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NY",
            "license": "178809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVELOPMENTAL PEDIATRICS",
            "identifier": "1316928450",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01166861",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

Verify at the official NPI Registry.