Active NPI
Zehra Siddiqui, D.O.
- Pediatric Adolescent Medicine Physician
- Old Bridge, NJ
National Provider Identifier
1578740197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 25MB07729100
- Practice address
- 200 Perrine Rd
Suite 229
Old Bridge, NJ 08857-2842 - Phone
- (732) 727-8800
- Fax
- (732) 727-0955
- NPI assigned
- Jan 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 25MB07729100 | NJ | Primary |
Addresses
Primary practice location
200 Perrine Rd
Suite 229
Old Bridge, NJ 08857-2842
Mailing address
200 Perrine Rd
Suite 229
Old Bridge, NJ 08857-2842
Phone (732) 727-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MB07729100 | Other | NJ | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB07729100 | NJ | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Samra Group, LLC | Adolescent Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Adolescent Medicine Physician
- Old Bridge, NJ
- NPI 1992899850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1578740197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PERRINE RD",
"address_2": "SUITE 229",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572842",
"telephone_number": "732-727-8800",
"fax_number": "732-727-0955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PERRINE RD",
"address_2": "SUITE 229",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572842",
"telephone_number": "732-727-8800",
"fax_number": "732-727-0955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "ZEHRA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NJ",
"license": "25MB07729100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "25MB07729100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.