Maymuna Siddiquea, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA063773 Issued in PA

Practice address

1300 Chestnut St Apt 901
Philadelphia, PA 19107-4503

Phone

(302) 299-0830

NPI assigned

Jul 24, 2022

Last updated

Jul 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Main Line Emergency Med Associates LLC

  • Emergency Medicine Physician
  • Paoli, PA
  • NPI 1316919368
  Medicare reassignment
• Pennsylvania Urgent Care Centers, PLLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Downingtown, PA
  • NPI 1902128721
  Medicare reassignment

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1588399406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CHESTNUT ST APT 901",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074503",
            "telephone_number": "302-299-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CHESTNUT ST APT 901",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074503",
            "telephone_number": "302-299-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUEA",
        "first_name": "MAYMUNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bibi Aysha Siddhika, CRNP
• Arham Siddique
• Mahmood Siddique, M.D.
• Shazia Mehmood Siddique, M.D.
• Yasir Siddique, DDS
• Ayesha Siddiqui, BEHAVIOR TECHNICIAN
• Fatima Siddiqui, DO
• Hania Khalid Siddiqui
• Hassan Vaqar Siddiqui
• Husayn Ibrahim Siddiqui

• Medical Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.