Individual provider Active NPI

Arefin Siddique, MD

  • Physical Medicine & Rehabilitation Physician
  • Cortlandt Manor, NY
National Provider Identifier
1902908361
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
221473-1 Issued in NY
Practice address
2300 Catherine St
Cortlandt Manor, NY 10567-7231
Phone
(914) 739-2244
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 221473-1 NY Primary

Addresses

Primary practice location

2300 Catherine St
Cortlandt Manor, NY 10567-7231

Mailing address

125 Logans Way
Hopewell Junction, NY 12533
Phone (845) 896-0664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240201000223 TX Practitioner - Interventional Pain Management 3971513185 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221473-1NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Pain & Wellness, PLLC CurrentSince Nov 27, 2023 Accepting new patients
Hudson Valley Physical Medicine &Rehabilitation,PLLC Physical Medicine & Rehabilitation Past Accepting new patients
Catharine Field Home Past Accepting new patients
Vdo Cardiology PLLC Past Accepting new patients

Locations

15107 FM 2100 Rd
Ste E
Crosby, TX 77532
Phone (281) 462-4804

14626 FM 2100 Rd
Ste C
Crosby, TX 77532
Phone (281) 328-2568

Organizations & group practices 4

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902908361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LOGANS WAY",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "12533",
            "telephone_number": "845-896-0664",
            "fax_number": "914-366-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CATHERINE ST",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105677231",
            "telephone_number": "914-739-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "AREFIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "221473-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.