Organization Active NPI

Siq Inc.

  • Clinic/Center
  • Hopewell Junction, NY
National Provider Identifier
1457787780
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SIQ INC.
Practice address
5 Guinness Way
Hopewell Junction, NY 12533-3323
Phone
(914) 486-9996
NPI assigned
Sep 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Shahram I Qureshi
Title
President
Phone
(914) 486-9996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5 Guinness Way
Hopewell Junction, NY 12533-3323

Mailing address

5 Guinness Way
Hopewell Junction, NY 12533-3323
Phone (914) 486-9996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161004001762 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7113215369 Practice locations: Bethpage, NY

National Provider Directory

National Provider Directory

Locations

8 Seitz Dr
Ste B
Bethpage, NY 11714
Phone (914) 486-9996

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1457787780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GUINNESS WAY",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333323",
            "telephone_number": "914-486-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GUINNESS WAY",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333323",
            "telephone_number": "914-486-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIQ INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-486-9996"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.