Syed Azhar Siddiq, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA062636 Issued in NJ

Practice address

190 Greenbrook Rd
North Plainfield, NJ 07060-3903

Phone

(908) 756-5206

Fax

(908) 756-5214

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Martin and Edith Stein Hospice, the Hospice, Somerset, NJ, CCN 311560
• JFK University Medical Center Hospital, Edison, NJ, CCN 310108
• Careone at Somerset Valley Nursing home, Bound Brook, NJ, CCN 315002
• Complete Care at Woodlands Nursing home, Plainfield, NJ, CCN 315273

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ssiddiq59162@epicdirect.rwjbh.org

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.

• Medemerge P.a.

  • Family Medicine Physician
  • Green Brook, NJ
  • NPI 1184643132
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 1621 Route 22 West Operating Company, LLC

  • Skilled Nursing Facility
  • Bound Brook, NJ
  • NPI 1548372618

  Nursing home

  Care Compare affiliation
• Complete Care at Woodlands LLC

  • Skilled Nursing Facility
  • Plainfield, NJ
  • NPI 1033739891

  Nursing home

  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Edison, NJ
  • NPI 1144894577
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Edison, NJ
  • NPI 1780301366

  Hospital

  Care Compare affiliation
• The Martin and Edith Stein Hospice

  • Community Based Hospice Care Agency
  • Somerset, NJ
  • NPI 1336125459
  Care Compare affiliation

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1578501565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GREENBROOK RD",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603903",
            "telephone_number": "908-756-5206",
            "fax_number": "908-756-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GREENBROOK RD",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603903",
            "telephone_number": "908-756-5206",
            "fax_number": "908-756-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQ",
        "first_name": "SYED",
        "middle_name": "AZHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA062636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6680909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Binita Shah
• Billie Shivers, RN
• Mili Shukla, O.D.
• Sandy Viriana Shulca
• Raheel Siddiq, R.D.
• Mark Steven Sielski, D.C.
• Rachel Snyder, NP
• Surinder K Sodhi, MD
• Sos Medical Services LLC
• Star Pain Management and Spine Center LLC

• Internal Medicine Physician in North Plainfield, NJ
• Providers in North Plainfield, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.

Verify at the official NPI Registry.