DR. AFZAAL AHMAD SIDDIQUI (NPI# 1255467064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255467064 |
| Entity Type | Individual |
| Full Name | DR. AFZAAL AHMAD SIDDIQUI |
| Credential | M.D. |
| Practice Address |
Garden State Endoscopy & Surgery Center 1700 Galloping Hill Road Kenilworth NJ 07033 |
| Mailing Address |
31 King Pl Closter NJ 07624-2943 |
| Practice Telephone | 9082418900 |
| Mailing Telephone | 2017841565 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MA07033800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
GARDEN STATE ENDOSCOPY & SURGERY CENTER 1700 GALLOPING HILL ROAD |
| City | KENILWORTH |
| State | NJ |
| Zip Code | 07033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396112231 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 801 Kenilworth Blvd, Kenilworth, NJ 07033 | 2015-08-26 |
| 1235480484 | Yesenia Fermin | Social Worker | 525 Boulevard Suite 2, Suite 2, Kenilworth, NJ 07033 | 2012-09-27 |
| 1497894059 | Paul Morabito | Pharmacist | 21 North 20th Street, Morabitos Pharmacy, Kenilworth, NJ 07033 | 2007-02-06 |
| 1780747394 | Morris Avenue Endoscopy LLC | Clinic/Center | #1700 Galloping Hill Rd, Kenilworth, NJ 07033 | 2006-12-18 |
| 1477641363 | Lois G Fiore | Optometrist | 505 Boulevard, Kenilworth, NJ 07033 | 2006-10-10 |
| 1518058189 | Glenn W Koechling Dds | Dentist | 17 North 18th Street, Kenilworth, NJ 07033 | 2006-09-27 |
| 1992344766 | Zisi Monheit | Pharmacist | 312 Glenwood Avenue, Bloomfield, NJ 07033 | 2019-12-27 |
| 1730491812 | Ahmad Kazemi Md Pa | General Practice | 562 Boulevard, Kenilworth, NJ 07033 | 2010-07-06 |
| 1942330006 | Dominick Morabito | Pharmacist | 21 N 20th St, Kenilworth, NJ 07033 | 2007-03-07 |
| 1184778060 | Morris Avenue Endoscopy LLC | Anesthesiology | 1700 Galloping Hill Rd, Kenilworth, NJ 07033 | 2007-01-22 |
| Find all providers in zip 07033 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517044 | Excellence Medical Care, PC | Anesthesiology | 110 S Grove St Fl 2, East Orange, NJ 07018-4102 | 2020-10-28 |
| 1851998488 | Kenneth Paul Michelette | Anesthesiology | 72 W Jimmie Leeds Rd Ste 2500, Galloway, NJ 08205-9413 | 2020-10-06 |
| 1407462815 | Optimal Pain & Spine | Anesthesiology | 757 Route 202/206 Ste 104, Bridgewater, NJ 08807-1763 | 2020-09-21 |
| 1457986119 | Windsor Management LLC Michael Ole Fridman Sole Mbr. | Anesthesiology | 831 Main Ave Ste 5831, Passaic, NJ 07055-8400 | 2020-03-03 |
| 1750914776 | Center for Regenerative Therapy and Pain Management | Anesthesiology | 459 Jack Martin Blvd Ste 4, Brick, NJ 08724-7724 | 2020-02-18 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1649816976 | Elizabeth Pavlovsky | Anesthesiology | 666 Plainsboro Rd Ste D, Plainsboro, NJ 08536-3030 | 2019-11-21 |
| 1265991772 | Interventional Spine and Surgery Group, LLC | Anesthesiology | 8901 Kennedy Blvd Fl 1, North Bergen, NJ 07047-5344 | 2019-03-14 |
| 1477017929 | Mountainside Pain Management PC | Anesthesiology | 185 Fairfield Ave Ste 2a, West Caldwell, NJ 07006-6417 | 2019-01-29 |
| 1043786346 | Neurosure | Anesthesiology | 326a 6th St, Saddle Brook, NJ 07663-6306 | 2018-10-15 |
| Find all providers with the same taxonomy | ||||
| City | KENILWORTH |
| Zip Code | 07033 |
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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.