Individual provider Active NPI

Husna Siddique, MD

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1992752398
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
166516 Issued in NY
Practice address
2554 Linden Blvd
Brooklyn, NY 11208-4904
Phone
(718) 240-8600
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 166516 NY Primary

Addresses

Primary practice location

2554 Linden Blvd
Brooklyn, NY 11208-4904

Mailing address

2554 Linden Blvd
Brooklyn, NY 11208-4904
Phone (718) 240-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080710000006 NY Practitioner - Pediatric Medicine 5799857694 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Professional Physician Services, P.C. Pediatrics CurrentSince Nov 24, 2024 Accepting new patients
Brookdale Family Care Center, Inc. Pediatrics CurrentSince Oct 31, 2015 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Oct 31, 2015 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Oct 31, 2015 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Oct 31, 2015 Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1095 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 240-5132

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1992752398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084904",
            "telephone_number": "718-240-8600",
            "fax_number": "718-240-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084904",
            "telephone_number": "718-240-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "HUSNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "166516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.