Individual provider Active NPI

Safia Anwar Pasha Siddiqui, M.D

  • Rheumatology Physician
  • Stratford, NJ
National Provider Identifier
1942482971
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA09806100 Issued in NJ
Practice address
42 E Laurel Rd Ste 3100-E
Stratford, NJ 08084-1354
Phone
(856) 566-6409
Fax
(856) 566-6333
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD457161 PA
Rheumatology Physician 207RR0500X 25MA09806100 NJ Primary

Addresses

Primary practice location

42 E Laurel Rd Ste 3100-E
Stratford, NJ 08084-1354

Mailing address

42 E Laurel Rd Ste 3100-E
Stratford, NJ 08084-1354
Phone (856) 566-7070

Other practice location 1

1450 Chapel St
Hospital of saint Raphael
New Haven, CT 06511-4405
Phone (203) 789-3034

Other practice location 2

219 N Broad St Fl 9
Philadelphia, PA 19107
Phone (215) 762-2688

Other practice location 3

405 Hurffville Crosskeys Rd Ste 101
Sewell, NJ 08080-9340
Phone (856) 566-7070

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ssiddiqui248941@directvirtua.org
Direct Messaging Address ssiddiqui248941@directvirtua.org
Direct Messaging Address ssiddiqui248941@directvirtua.org

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
I20200630000054 NJ Practitioner - RheumatologyPractitioner - Internal Medicine 9638295082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1474 Tanyard Rd
Sewell, NJ 08080-4222

3242 Route 206
Bordentown, NJ 08505-4517

42 E Laurel Rd
Stratford, NJ 08084-1354

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09806100NJMDRheumatology Physician
MD457161PAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jun 5, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 5, 2023 Accepting new patients
Rowansom Nmi Osteopathic Manipulative Medicine Past Accepting new patients
Rowansom Newjersey Institute for Successful Aging-Geriatric Psychiatry Past Accepting new patients
Saint Raphael Faculty Physicians Rheumatology Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1474 Tanyard Rd
Ste B100
Sewell, NJ 08080
Phone (856) 566-6857

405 Hurffville Crosskeys Rd
Ste 101
Sewell, NJ 08080
Phone (856) 218-0300

42 E Laurel Rd
Ste 3100
Stratford, NJ 08084
Phone (856) 566-2753

42 E Laurel Rd
Ste 3100E
Stratford, NJ 08084
Phone (856) 566-6409

Interoperability endpoints

  • Direct secure messaging: ssiddiqui248941@directvirtua.org
  • Direct secure messaging: safia.siddiqui.1@18824.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1942482971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 3100-E",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7070",
            "fax_number": "856-566-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 3100-E",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-6409",
            "fax_number": "856-566-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Chapel St",
            "address_2": "Hospital of saint Raphael",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065114405",
            "country_code": "US",
            "telephone_number": "203-789-3034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 N Broad St Fl 9",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19107",
            "country_code": "US",
            "telephone_number": "215-762-2688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Hurffville Crosskeys Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080809340",
            "country_code": "US",
            "telephone_number": "856-566-7070",
            "fax_number": "856-582-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SAFIA",
        "middle_name": "ANWAR PASHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD457161",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA09806100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssiddiqui248941@directvirtua.org",
            "affiliation": "N",
            "address_1": "42 E Laurel Rd Ste 3100-E",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssiddiqui248941@directvirtua.org",
            "affiliation": "N",
            "address_1": "1474 Tanyard Road",
            "address_2": "Suite B100",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssiddiqui248941@directvirtua.org",
            "affiliation": "N",
            "address_1": "405 Hurffville Crosskeys Rd Ste 101",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080809340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.