Dil Ara Siddika, MD,DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

270762 Issued in NY

Practice address

998 Crooked Hill Rd
Brentwood, NY 11717-1019

Phone

(631) 761-3500

NPI assigned

Jun 24, 2008

Last updated

Oct 4, 2018By 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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Nys Office of Mental Health

  • Adult Mental Health Clinic/Center
  • West Brentwood, NY
  • NPI 1578627485
  Medicare reassignment NPD
• Nys Office of Mental Health

  • Adult Mental Health Clinic/Center
  • Rochester, NY
  • NPI 1730243643
  NPD
• Nys Office of Mental Health

  • Psychiatric Hospital
  • West Brentwood, NY
  • NPI 1740344910
  NPD

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1639330418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171019",
            "telephone_number": "631-761-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171019",
            "telephone_number": "631-761-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIKA",
        "first_name": "DIL",
        "middle_name": "ARA",
        "credential": "MD,DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "270762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Session
• Shetal Amit Shah, M.D.
• Donna Marie Shannon, R.N.01
• Dawn Elayne Shedrick, LCSW
• Gillian Shelby
• Bessie Sidoo, LPN
• Elizabeth Sill, N.P.
• Jennifer Enith Simmons, LMSW
• Joseph Anthony Simonetti, D.D.S.
• Scott Anthony Simonetti, D.D.S

• Psychiatry Physician in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.