Active NPI
Kamran Anis Siddiqui, MD
- Internal Medicine Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 303867-01
- Practice address
- 27111 76TH Ave
New Hyde Park, NY 11040-1423 - Phone
- (609) 585-1122
- Fax
- (609) 585-0309
- NPI assigned
- May 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 303867-01 | NY | Primary |
| Hospitalist Physician | 208M00000X | 25MA10065200 | NJ |
Addresses
Primary practice location
27111 76TH Ave
New Hyde Park, NY 11040-1423
Mailing address
2199 Jackson PL
North Bellmore, NY 11710-1104
Phone (516) 757-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07969193 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
967 N Broadway
Yonkers, NY 10701-1301
Phone (800) 513-3044
Hospital & facility affiliations
- St John'S Riverside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303867-01 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Medical Care PC | Internal Medicine | Current | Accepting new patients |
| First Docs PC | Internal Medicine | Current | Accepting new patients |
| Symphony Medical PC | Current | Accepting new patients | |
| Symphony Medical PC | Hospitalist | Current | Accepting new patients |
| Mercer Bucks Medical Associates, P.C. | Internal Medicine | Current | Accepting new patients |
| Symphony Medical PC | Past | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671
27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
967 N Broadway
#4
Yonkers, NY 10701
967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956
Interoperability endpoints
- https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Dobbs Ferry, NY
- NPI 1659787653
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
-
- Federally Qualified Health Center (FQHC)
- Elmont, NY
- NPI 1336669670
-
- Orthopaedic Surgery Physician
- Dobbs Ferry, NY
- NPI 1023600327
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Yonkers, NY
- NPI 1043735137
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1801206396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2199 JACKSON PL",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117101104",
"telephone_number": "516-757-4300",
"fax_number": "609-585-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27111 76TH AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401423",
"telephone_number": "609-585-1122",
"fax_number": "609-585-0309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "KAMRAN",
"middle_name": "ANIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-06",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "303867-01",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA10065200",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07969193",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.