Active NPI
Firdaus Siddiki
- Physical Therapist
- Syosset, NY
National Provider Identifier
1780008367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034919-1
- Practice address
- 35 Roosevelt Ave
Syosset, NY 11791-3061 - Phone
- (646) 577-1054
- Fax
- (646) 200-5064
- NPI assigned
- Feb 18, 2014
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 034919-1 | NY | Primary |
Addresses
Primary practice location
35 Roosevelt Ave
Syosset, NY 11791-3061
Mailing address
62 Logan Ave # 1
Jersey City, NJ 07306-6933
Phone (732) 666-4454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034919-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1780008367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 LOGAN AVE # 1",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073066933",
"telephone_number": "732-666-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 ROOSEVELT AVE",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117913061",
"telephone_number": "646-577-1054",
"fax_number": "646-200-5064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIKI",
"first_name": "FIRDAUS",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034919-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.