Dr Mahbubur Siddique MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DR MAHBUBUR SIDDIQUE MD LLC

Practice address

777 Blackwood Road
Unit B
Lindenwold, NJ 08021

Phone

(917) 912-0987

NPI assigned

Feb 7, 2011

Organization subpart

No

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

Authorized official

Name

Mahbubur Siddique

Title

Owner

Phone

(917) 912-0987

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1639475791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLEMENTON BLACKWOOD ROAD",
            "address_2": "UNIT B",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "08021",
            "telephone_number": "917-912-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BLACKWOOD ROAD",
            "address_2": "UNIT B",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "08021",
            "telephone_number": "917-912-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MAHBUBUR SIDDIQUE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUE",
        "authorized_official_first_name": "MAHBUBUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-912-0987"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Lawrence Cummings, PT, DPT
• Josselyn Desoto
• Destiny Care and Transportation
• Diamond Hope, LLC
• Dr Barry Hoffman DO PA
• Elevate Metabolic Care LLC
• Episkey Counseling LLC
• Sandy Espinosa
• Family Medicine of Lindenwold LLC
• James V Galeno, R.PH.

• Specialist in Lindenwold, NJ
• Providers in Lindenwold, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.