Individual provider Active NPI

Naushin Siddiqui, M.D.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1639224561
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
221632 Issued in NY
Practice address
7729 141St St
Flushing, NY 11367-3293
Phone
(718) 380-8810
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 221632 NY Primary

Addresses

Primary practice location

7729 141St St
Flushing, NY 11367-3293

Mailing address

7729 141St St
Flushing, NY 11367-3293
Phone (718) 380-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20090617000680 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5799790861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naushin Siddiqui Physician PCGroup PAC ID 9133134364, 2 clinicians

Practice addresses (Care Compare)

7729 141St St
Flushing, NY 11367-4200
Phone (718) 380-0810

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Naushin Siddiqui Physician PC Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients

Locations

602 Merrick Ave
East Meadow, NY 11554
Phone (516) 481-2000

7729 141st St
Ste A
Flushing, NY 11367

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639224561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7729 141ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673293",
            "telephone_number": "718-380-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7729 141ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673293",
            "telephone_number": "718-380-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "NAUSHIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.