Southside Neonatal Care PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SOUTHSIDE NEONATAL CARE PC

Doing business as

Pediatric Associates

Practice address

800 Broadway Ave
Holbrook, NY 11741-4917

Phone

(631) 563-2294

Fax

(631) 589-8946

NPI assigned

Feb 17, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Foazia Siddiq, MDNPI 1376606814

Title

MD

Phone

(631) 335-7663

Specialties & licenses 2

Addresses

Other names 1

• Pediatric Associates Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Foazia Siddiq, M.D.

  • Pediatrics Physician
  • Holbrook, NY
  • NPI 1376606814
  NPD Authorized official
• Yelena Melman

  • Pediatrics Physician
  • Holbrook, NY
  • NPI 1144383696
  NPD (past)

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1841095627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BROADWAY AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414917",
            "telephone_number": "631-563-2294",
            "fax_number": "631-589-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BROADWAY AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414917",
            "telephone_number": "631-563-2294",
            "fax_number": "631-589-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE NEONATAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "SIDDIQ",
        "authorized_official_first_name": "FOAZIA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-335-7663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia J. Sondgeroth, RPAC
• Vanessa Sorin
• Andrea Sosa
• Frances T Soto-Valentino, LMSW, CASAC
• South Shore Medical Care &Diagnostic, PC
• Rhea N Spina, LMHC
• Thomas Spinnato, MD
• James R Staropoli, RPH
• Alexander Stein, OTR/L
• Dana S Stein, MS, OTRL

• Pediatrics Physician in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.