Active NPI
Ahmad Mutee Siddiqi, M.D
- Surgery Physician
- Woodmere, NY
National Provider Identifier
1639510811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 118218
- Practice address
- 98 Conklin Ave
Woodmere, NY 11598-1342 - Phone
- (516) 569-1862
- Fax
- (516) 569-1862
- NPI assigned
- Jul 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 118218 | NY | Primary |
Addresses
Primary practice location
98 Conklin Ave
Woodmere, NY 11598-1342
Mailing address
98 Conklin Ave
Woodmere, NY 11598-1342
Phone (516) 569-1862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118218 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1639510811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 CONKLIN AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981342",
"telephone_number": "516-569-1862",
"fax_number": "516-569-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 CONKLIN AVE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981342",
"telephone_number": "516-569-1862",
"fax_number": "516-569-1862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQI",
"first_name": "AHMAD",
"middle_name": "MUTEE",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "118218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.