Siddiqi M Haque, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P104513 Issued in NY

Practice address

8533 Jericho Tpke
Woodbury, NY 11797-1804

Phone

(516) 692-4100

NPI assigned

Feb 16, 2020

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581811200000",
    "number": "1689207888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16710 HIGHLAND AVE FL 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322626",
            "telephone_number": "631-230-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8533 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971804",
            "telephone_number": "516-692-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "SIDDIQI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-16",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P104513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Guttman, MD
• Jacquelyn Haft
• Joanne Hall, LCSW
• Mikalyn J Hamed, D.C.
• Jessica Lynn Handy, M.S.
• Alison Hause
• Hearing & Rehabilitation Services of Long Island LLC
• Mariam Henein
• Marc W Herman, DDS
• Melanie Herzfeld, AU.D.

• Internal Medicine Physician in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2020; 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.