Active NPI
Raheel Siddiq, R.D.
- Registered Dietitian
- North Plainfield, NJ
National Provider Identifier
1689726440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 942891
- Practice address
- 190 Greenbrook Rd
North Plainfield, NJ 07060-3903 - Phone
- (908) 756-5206
- Fax
- (908) 756-5214
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 942891 | NJ | Primary |
Addresses
Primary practice location
190 Greenbrook Rd
North Plainfield, NJ 07060-3903
Mailing address
19 Honeyman Rd
Basking Ridge, NJ 07920-3821
Phone (908) 470-9105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050421001000 | NJ | Practitioner - Registered Dietitian Or Nutrition Professional | 6507804382 | Practice locations: North Plainfield, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 942891 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689726440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 HONEYMAN RD",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079203821",
"telephone_number": "908-470-9105",
"fax_number": "908-756-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 GREENBROOK RD",
"city": "NORTH PLAINFIELD",
"state": "NJ",
"postal_code": "070603903",
"telephone_number": "908-756-5206",
"fax_number": "908-756-5214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQ",
"first_name": "RAHEEL",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "942891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.