DR. MOHAMMAD A SIDDIQUE (NPI# 1104951268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104951268 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMAD A SIDDIQUE |
| Credential | M.D. |
| Practice Address |
17020 84th Ave Jamaica NY 11432-2106 |
| Practice Telephone | 9177495703 |
| Mailing Telephone | 9177495703 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
213150 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02060644 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144439456 | Mohammad Tabraize Siddique | Internal Medicine | 6101 S County Line Rd, Burr Ridge, IL 60527-8132 | 2007-05-22 |
| 1336107184 | Mohammad Siddique | Internal Medicine | 1120 S Jackson Hwy, Suite 301-b, Sheffield, AL 35660-5777 | 2006-05-02 |
| Street Address |
17020 84TH AVE |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164786059 | Global Medical Testing & Services PC | Psychiatry & Neurology | 8015 Main St, Suite 1a, Jamaica, NY 11435-6388 | 2012-06-26 |
| 1477858652 | Jai Dev Kumar | Psychiatry & Neurology | 8260 164th Pl, Jamaica, NY 11432-1825 | 2011-01-19 |
| 1992743124 | Syed W Naqvi | Psychiatry & Neurology | 8742 169th St, Jamaica, NY 11432-3632 | 2006-06-02 |
| 1013136225 | Flora Fesalbon Morente | Psychiatry & Neurology | 8675 Midland Pkwy, Ste 1, Jamaica, NY 11432-3058 | 2007-04-25 |
| 1386779130 | Joel Pierre-louis | Psychiatry & Neurology | 14732 Jamaica Ave, Jamaica, NY 11435-4042 | 2007-02-22 |
| 1497836811 | Sharon Joy Atkinson | Psychiatry & Neurology | 8268 164th St, Jamaica, NY 11432-1121 | 2006-10-19 |
| 1649231366 | Alfred Clayton Bannerman | Psychiatry & Neurology | 8900 Van Wyck Expressway, Jamaica, NY 11418-2832 | 2006-03-31 |
| 1821057373 | Hasit Thakore | Psychiatry & Neurology | 13420 Jamaica Ave, Jamaica, NY 11418-2619 | 2006-03-22 |
| 1669431110 | Thambirajah Nandakumar | Psychiatry & Neurology | 13420 Jamaica Ave, Jamaica, NY 11418-2619 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.