Individual provider Active NPI

Sadiah Munmun Hoque, DPM

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1376061598
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006880 Issued in PA
Practice address
5735 Ridge Ave Ste 208
Philadelphia, PA 19128-1747
Phone
(215) 487-4284
NPI assigned
Sep 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006880 PA Primary

Addresses

Primary practice location

5735 Ridge Ave Ste 208
Philadelphia, PA 19128-1747

Mailing address

1020 Kings Hwy Apt 204
Bellmawr, NJ 08031-1022
Phone (516) 784-7830

Other practice location 1

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4284

Other identifiers 1

IdentifierTypeStateIssuer
SC006880OtherPADPM COMMONWEALTH OF PA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC006880PAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376061598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 KINGS HWY APT 204",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080311022",
            "telephone_number": "516-784-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 RIDGE AVE STE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281747",
            "telephone_number": "215-487-4284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19128",
            "country_code": "US",
            "telephone_number": "215-487-4284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOQUE",
        "first_name": "SADIAH",
        "middle_name": "MUNMUN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPM COMMONWEALTH OF PA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATION",
            "identifier": "SC006880",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.