Organization Active NPI

Encompass Medical Diagnostics, P.C.

  • Specialist
  • Ozone Park, NY
National Provider Identifier
1508177650
Registry record updated Jul 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
213042 Issued in NY
Legal business name
ENCOMPASS MEDICAL DIAGNOSTICS, P.C.
Practice address
10114 Liberty Ave
Ozone Park, NY 11417-1725
Phone
(516) 256-2017
Fax
(516) 256-2029
NPI assigned
Jun 23, 2010
Last updated
Jul 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2010

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

Authorized official

Name
Dr. Saeed A Siddiqui, M.D.
Title
President
Phone
(516) 256-2017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 213042 NY Primary

Addresses

Primary practice location

10114 Liberty Ave
Ozone Park, NY 11417-1725

Mailing address

10114 Liberty Ave
Ozone Park, NY 11417-1725
Phone (516) 256-2017

National Provider Directory

National Provider Directory

Locations

10114 Liberty Ave
Ozone Park, NY 11417
Phone (718) 487-3330

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278288000000",
    "number": "1508177650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10114 LIBERTY AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171725",
            "telephone_number": "516-256-2017",
            "fax_number": "516-256-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10114 LIBERTY AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171725",
            "telephone_number": "516-256-2017",
            "fax_number": "516-256-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS MEDICAL DIAGNOSTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-07-05",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SAEED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-256-2017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "213042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.