Khawaja Asim Siddique, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

280349 Issued in NY

Practice address

235 Forest Ave
Glen Cove, NY 11542-2034

Phone

(516) 671-7770

Fax

(516) 671-6372

NPI assigned

Jul 17, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Kim Medical of New York PLLCGroup PAC ID 6002299310, 17 clinicians

City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
• North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
• Hospice of New York, LLC Hospice, Long Island City, NY, CCN 331560
• Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: khawaja.siddique.1@2983.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1801277629
  Medicare reassignment Care Compare group NPD
• Crescent Integrative Medical PLLC

  • Family Medicine Physician
  • Glen Cove, NY
  • NPI 1881424885
  Medicare reassignment NPD Authorized official
• Kim Medical of New York PLLC

  • Primary Care Clinic/Center
  • Plainview, NY
  • NPI 1770230039
  Medicare reassignment Care Compare group NPD
• 787 Medical PC

  • Integrative Medicine Physician
  • Glen Cove, NY
  • NPI 1023801842
  Medicare reassignment NPD
• American Medical Today P.C.

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1710471800
  Medicare reassignment NPD
• Central Suffolk Hospital

  • Hospitalist Physician
  • Riverhead, NY
  • NPI 1043402050
  Medicare reassignment NPD
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Family Medicine

  Medicare reassignment NPD
• Dwic of Tampa Bay, Inc.

  • Urgent Care Clinic/Center
  • Clearwater, FL
  • NPI 1780633834
  Medicare reassignment NPD
• Medexpress Urgent Care of Boynton Beach, LLC

  • Urgent Care Clinic/Center
  • Boynton Beach, FL
  • NPI 1366544728
  Medicare reassignment NPD
• Central Suffolk Hosptial

  • Nurse Practitioner
  • Riverhead, NY
  • NPI 1841637741
  NPD
• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1740913763
  NPD
• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • Flushing, NY
  • NPI 1831806314
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Glen Cove Hospital

  • General Acute Care Hospital
  • Glen Cove, NY
  • NPI 1295743060
  Care Compare affiliation
• Hospice of New York, LLC

  • Community Based Hospice Care Agency
  • Long Island City, NY
  • NPI 1013001197
  Care Compare affiliation
• North Shore University Hospital

  • Home Health Agency
  • Manhasset, NY
  • NPI 1417965278
  Care Compare affiliation
• North Shore University Hospital

  • Home Health Agency
  • Westbury, NY
  • NPI 1861464471
  Care Compare affiliation
• Nursing Sisters Home Care, Inc.

  • Home Health Agency
  • Farmingdale, NY
  • NPI 1780670711
  Care Compare affiliation

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1750636635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 FOREST AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422034",
            "telephone_number": "516-671-7770",
            "fax_number": "516-671-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 FOREST AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422034",
            "telephone_number": "516-671-7770",
            "fax_number": "516-671-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "KHAWAJA",
        "middle_name": "ASIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NY",
            "license": "280349",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NY",
            "license": "280349",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "280349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Sheehy, M.D.
• Natasha Sheikh
• Mina Hyemin Shin
• Deepa Jayanti Shiwcharan, PHARMD
• Kara M. Siciliano, M.S., CCC-SLP
• Maryann Borgatti Sieber, R.N.
• Alan Neil Siegel, DC
• Loretta Mary Siegel, MD
• Andrew Simms
• Rebecca Florence Simoni, PSY D.

• Family Medicine Physician in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.