Active NPI
Anila Qaiser Siddiqui, M.D.
- Neurology Physician
- East Meadow, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 242229
- Practice address
- 380 Merrick Ave
East Meadow, NY 11554-2701 - Phone
- (516) 279-6210
- Fax
- (516) 596-8979
- NPI assigned
- Mar 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 242229 | NY | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | 242229 | NY | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 242229 | NY |
Addresses
Primary practice location
380 Merrick Ave
East Meadow, NY 11554-2701
Mailing address
380 Merrick Ave
East Meadow, NY 11554-2701
Phone (516) 279-6210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11617 Atlantic Ave
Richmond Hill, NY 11418-3141
Phone (516) 279-6210
910 Route 109 B
Lindenhurst, NY 11757-1158
Phone (516) 279-6210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242229 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassau Health Care Corporation | Current | Accepting new patients | |
| All Island Neurology PC | Neurology | Current | Accepting new patients |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients |
Locations
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
380 Merrick Ave
East Meadow, NY 11554
Phone (516) 279-6210
11617 Atlantic Ave
Ste 100
Richmond Hill, NY 11418
11617 Atlantic Ave
Richmond Hill, NY 11418
Phone (516) 279-6210
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHFCAD/Endpoint/IHFCAD
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.
-
- Neurology Physician
- Richmond Hill, NY
- NPI 1184279085
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1902822992
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1730530940
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1811912405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1417127333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 MERRICK AVE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542701",
"telephone_number": "516-279-6210",
"fax_number": "516-596-8979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 MERRICK AVE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542701",
"telephone_number": "516-279-6210",
"fax_number": "516-596-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "ANILA",
"middle_name": "QAISER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "242229",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NY",
"license": "242229",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NY",
"license": "242229",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.