Lee Sarah Sidiqi, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NR16065700 Issued in NJ

Practice address

622 Stokes Rd
Suite a
Medford, NJ 08055-2913

Phone

(609) 953-0908

Fax

(609) 953-5978

NPI assigned

Jan 7, 2008

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• David a. High

  • Specialist
  • Medford, NJ
  • NPI 1750495990
  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1376728550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 STOKES RD",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552913",
            "telephone_number": "609-953-0908",
            "fax_number": "609-953-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 STOKES RD",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552913",
            "telephone_number": "609-953-0908",
            "fax_number": "609-953-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDIQI",
        "first_name": "LEE",
        "middle_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NR16065700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "26NR16065700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry Michael Shallcross, PH.D.
• Sofia Shannon
• Deborah Sheppard, RN
• Donna M Sherman, P.T.
• Lisa Shilling, PT
• Michelle Siebert, BCBA
• Trisha Anne Sileo, DC
• Grant Silhanek, DPT
• Edward M Silver, MSW
• Frank W Simmons, BS PHARMACY, PHARM D

• Nurse Practitioner in Medford, NJ
• Providers in Medford, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.