Active NPI
Usman Siddiqui MD
- Internal Medicine Physician
- Nyack, NY
National Provider Identifier
1659147130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- USMAN SIDDIQUI MD
- Practice address
- 311 N Midland Ave Ste 2
Nyack, NY 10960-1638 - Phone
- (845) 358-5006
- Fax
- (845) 358-4340
- NPI assigned
- Nov 27, 2023
- Last updated
- Mar 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Usman Siddiqui, MD
- Title
- Owner
- Phone
- (845) 358-5006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
311 N Midland Ave Ste 2
Nyack, NY 10960-1638
Mailing address
311 N Midland Ave Ste 2
Nyack, NY 10960-1638
Phone (845) 358-5006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 294940 | Other | NY | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
311 N Midland Ave
Ste 2
Nyack, NY 10960
Phone (845) 358-4340
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Nyack, NY
- NPI 1043476062
-
- Infectious Disease Physician
- Nyack, NY
- NPI 1023273380
Internal Medicine
-
- Internal Medicine Physician
- Nyack, NY
- NPI 1043475486
-
- Internal Medicine Physician
- Orangeburg, NY
- NPI 1861552051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709596800000",
"number": "1659147130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 N MIDLAND AVE STE 2",
"city": "NYACK",
"state": "NY",
"postal_code": "109601638",
"telephone_number": "845-358-5006",
"fax_number": "845-358-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N MIDLAND AVE STE 2",
"city": "NYACK",
"state": "NY",
"postal_code": "109601638",
"telephone_number": "845-358-5006",
"fax_number": "845-358-4340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USMAN SIDDIQUI MD",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-27",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A",
"authorized_official_last_name": "SIDDIQUI",
"authorized_official_first_name": "USMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-358-5006",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "294940",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.