Individual provider Active NPI

Sidra Haque, DO

  • Obstetrics & Gynecology Physician
  • Mullica Hill, NJ
National Provider Identifier
1821677097
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB12613600 Issued in NJ
Practice address
34 Colson LN
Mullica Hill, NJ 08062-1502
Phone
(856) 223-8930
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 25MB12613600 NJ Primary

Addresses

Primary practice location

34 Colson LN
Mullica Hill, NJ 08062-1502

Mailing address

34 Colson LN
Mullica Hill, NJ 08062-1502
Phone (856) 223-8930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250806004677 NJ Practitioner - Obstetrics/Gynecology 4486152790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

34 Colson LN
Mullica Hill, NJ 08062-1502
Phone (856) 223-6930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB12613600NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Sep 22, 2025 Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology CurrentSince Sep 22, 2025 Accepting new patients

Locations

399 Front St
Unit E
Elmer, NJ 08318
Phone (856) 223-8930

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

34 Colson Ln
Mullica Hill, NJ 08062
Phone (856) 223-0500

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

603 N Broad St
Ste 300
Woodbury, NJ 08096
Phone (856) 223-8930

40 Village Green Dr
Woolwich Twp, NJ 08085
Phone (856) 223-8930

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1821677097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 COLSON LN",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621502",
            "telephone_number": "856-223-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 COLSON LN",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621502",
            "telephone_number": "856-223-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "SIDRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB12613600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.