Alicia Korda Siddique, MPH, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86103527 Issued in NY

Practice address

311 E 72ND St Apt 16C
New York, NY 10021-5255

Phone

(650) 575-5233

NPI assigned

Jun 9, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1598332389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E 72ND ST APT 16C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215255",
            "telephone_number": "650-575-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E 72ND ST APT 16C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215255",
            "telephone_number": "650-575-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "ALICIA",
        "middle_name": "KORDA",
        "name_prefix": "Mrs.",
        "credential": "MPH, RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86103527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siddiqi Medical P.C.
• Masood Siddiqi, PHARMACIST
• Razi Siddiqi
• Rehana Siddiqi, MD
• Shamaila Siddiqi, M.D
• Jebunnesa Abedin Siddique, R.P.H
• Muhammad Asad Siddique, RPH
• Aatif Siddiqui, D.C.
• Alina Siddiqui
• Anis Rehman Siddiqui

• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.