Individual provider Active NPI

Durre Siddiqui, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1992080162
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012062-1 Issued in NY
Practice address
2 W 45TH St Ste 1708
New York, NY 10036-4220
Phone
(212) 354-2020
Fax
(212) 202-3965
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012062-1 NY Primary

Addresses

Primary practice location

2 W 45TH St Ste 1708
New York, NY 10036-4220

Mailing address

2 W 45TH St Ste 1708
New York, NY 10036-4220
Phone (212) 354-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012062-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource Chiropractic P.C Chiropractor Past Accepting new patients
Midtown Health Chiropractic P.C. Chiropractor Past Accepting new patients
Maxwell Medical Health, PC Chiropractor Past Accepting new patients
Esprit Chiropractic & Physical Therapy PLLC Chiropractor Past Accepting new patients

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1992080162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 45TH ST STE 1708",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364220",
            "telephone_number": "212-354-2020",
            "fax_number": "212-202-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 45TH ST STE 1708",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364220",
            "telephone_number": "212-354-2020",
            "fax_number": "212-202-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "DURRE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012062-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.