Organization Active NPI

Zeeba a. Siddiqi, Physician, PC

  • Internal Medicine Physician
  • Potsdam, NY
National Provider Identifier
1740305929
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
243233 Issued in NY
Legal business name
ZEEBA A. SIDDIQI, PHYSICIAN, PC
Practice address
11 Beal Street
Potsdam, NY 13676
Phone
(315) 265-4285
Fax
(315) 265-4301
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Zeeba A. Siddiqi, MDNPI 1790812873
Title
MD
Phone
(315) 265-4285

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 243233 NY Primary

Addresses

Primary practice location

11 Beal Street
Potsdam, NY 13676

Mailing address

202 Taughannock Blvd.
PO Box 366
Ithaca, NY 14850
Phone (607) 277-3257

National Provider Directory

National Provider Directory

Locations

11 Beal St
Potsdam, NY 13676
Phone (315) 261-6514

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740305929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 TAUGHANNOCK BLVD.",
            "address_2": "PO BOX 366",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-277-3257",
            "fax_number": "607-277-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BEAL STREET",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "13676",
            "telephone_number": "315-265-4285",
            "fax_number": "315-265-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEEBA A. SIDDIQI, PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIDDIQI",
        "authorized_official_first_name": "ZEEBA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "315-265-4285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "243233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.