Shahida Siddiqui, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA03845300 Issued in NJ

Practice address

10 Southard St
Trenton, NJ 08609-1020

Phone

(609) 394-3202

Fax

(609) 278-6139

NPI assigned

Nov 29, 2006

Last updated

Dec 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Psychiatry

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Catholic Charities Diocese of TrentonGroup PAC ID 0345214466, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Catholic Charities, Diocese of Trenton

  • Community/Behavioral Health Agency
  • Trenton, NJ
  • NPI 1306888656
  Medicare reassignment Care Compare group NPD
• Princeton Healthcare Affiliated Physicians PC

  dba Princeton HealthCare Medical Associates

  • Internal Medicine Physician
  • Plainsboro, NJ
  • NPI 1518194323
  Medicare reassignment NPD
• Princeton House Provider Group LLC

  • Psychiatry Physician
  • Princeton, NJ
  • NPI 1881078681
  Medicare reassignment NPD
• Princeton Healthcare Affiliated Physicians PC

  dba Montgomery Internal Medicine Group - Princeton Medicine

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1770176372
  NPD
• Princeton Healthcare Affiliated Physicians PC

  dba Princeton HealthCare Family Medicine at Dayton

  • Family Medicine Physician
  • Dayton, NJ
  • NPI 1770710576
  NPD
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  dba Penn Medicine Princeton House Behavioral Health

  • Psychiatric Hospital Unit
  • Princeton, NJ
  • NPI 1518009588
  NPD (past)
• State of New Jersey Omb Centralized Payroll

  dba Trenton Psychiatric Hospital

  • Psychiatric Hospital
  • Trenton, NJ
  • NPI 1467552240
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1669549655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BROPHY DR",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086381242",
            "telephone_number": "609-532-1794",
            "fax_number": "609-882-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SOUTHARD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086091020",
            "telephone_number": "609-394-3202",
            "fax_number": "609-278-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SHAHIDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA03845300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193062",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Shockley, LPC
• Shoprite Pharmacy 556 (Shoprite Pharmacy of Hamilton SQ)
• Daniel Shostak, MD
• Zain Siddiqi, MD
• Bilal Siddiqui
• Monica Caroline Silva Dos Santos, MD
• Rosemary Silva, AGACNP
• Krista Silverman, RD
• Michael Lawrence Simon, C.R.N.A
• Patricia Leah Sims, LCSW

• Psychiatry Physician in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.