Foazia Siddiq, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

153260 Issued in NY

Practice address

800 Broadway Ave
Suite D
Holbrook, NY 11741-4917

Phone

(631) 563-2294

Fax

(631) 589-8946

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• 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 and National Provider Directory roles.

• Southside Neonatal Care PC

  • Pediatrics Physician
  • Holbrook, NY
  • NPI 1841095627
  NPD Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376606814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BROADWAY AVE",
            "address_2": "SUITE D",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414917",
            "telephone_number": "631-563-2294",
            "fax_number": "631-589-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BROADWAY AVE",
            "address_2": "SUITE D",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414917",
            "telephone_number": "631-563-2294",
            "fax_number": "631-589-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQ",
        "first_name": "FOAZIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "153260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00872573",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amie Shah
• Kaitlyn Shannon, RN
• Marie Lena Shannon, LMHC
• Ila Sharko, LPN
• Jonathan Sholder, PHARMD
• Phyllis G Simon-Goldman, MD
• Kimberly Ann Sirico-Hamel, LPN
• Skintrigue Medi Spa Inc.
• Ashley Brooke Skipper, R.N.
• Dawn Skoblicki, M.S., CCC/SLP

• Pediatrics Physician in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.