Active NPI
Faysal Eqbal Siddiqui, MD; DPM
- Podiatrist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- AM186658680O
- Practice address
- 600 East 233 Street
Montefiore Medical Center
Bronx, NY 10466 - Phone
- (718) 920-9000
- NPI assigned
- Jul 5, 2014
- Last updated
- Mar 10, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | AM186658680O | NY | Primary |
Addresses
Primary practice location
600 East 233 Street
Montefiore Medical Center
Bronx, NY 10466
Mailing address
600 E 233Rd St
Orthopedics Department
Bronx, NY 10466-2604
Phone (718) 920-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NJ, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthdrive Podiatry Group PC
Practice addresses (Care Compare)
100 Crossing Blvd
Suite 300
Framingham, MA 01702-5401
Phone (617) 964-6681
101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681
103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235
Phone (888) 964-6681
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 9549 |
| Removal or shaving of skin growth | 2786 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AM186658680O | NY | MD | Podiatrist |
| 006860 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdrive Podiatry Group, PC | Podiatrist | Current | Accepting new patients |
| Healthdrive Podiatry Group, PC | Podiatrist | Current | Accepting new patients |
Locations
101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
888 Worcester St
Ste 130
Wellesley, MA 02482
Phone (857) 255-0293
103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514
Organizations & group practices 3
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.
-
dba HealthDrive Podiatry Group
- Podiatrist
- Princeton, NJ
- NPI 1013106533
-
dba HealthDrive Podiatry Group
- Podiatrist
- Middletown, CT
- NPI 1770514101
-
dba HealthDrive Podiatry Group
- Podiatrist
- Dublin, OH
- NPI 1689613598
MA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1326454877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E 233RD ST",
"address_2": "ORTHOPEDICS DEPARTMENT",
"city": "BRONX",
"state": "NY",
"postal_code": "104662604",
"telephone_number": "718-920-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 EAST 233 STREET",
"address_2": "MONTEFIORE MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "10466",
"telephone_number": "718-920-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "FAYSAL",
"middle_name": "EQBAL",
"name_prefix": "Dr.",
"credential": "MD; DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-05",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "AM186658680O",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.