GINA SIDDIQUI (NPI# 1497100291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497100291 |
| Entity Type | Individual |
| Full Name | GINA SIDDIQUI |
| Credential | MD |
| Practice Address |
7901 Broadway Elmhurst NY 11373-1329 |
| Mailing Address |
241 S 49th St Apt 414 Philadelphia PA 19139-4286 |
| Practice Telephone | 7183343050 |
| Mailing Telephone | 2034300557 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 305962 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 464 Congress Ave, Suite #260, New Haven, CT 065191361 | 2037372644 |
| Street Address |
7901 BROADWAY |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903006 | Sambasiva Kamineni | Surgery | 7901 Broadway, Elmhurst, NY 11373-1329 | 2005-06-22 |
| 1336748433 | Lina Maria Rodriguez | Social Worker | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-10-20 |
| 1366049694 | Reinelda Glizel Diaz | Physical Therapist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-10-09 |
| 1831796705 | Keysha Latanya Bonheur | Registered Nurse | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-10-05 |
| 1053927657 | Puja Rai | Occupational Therapist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-18 |
| 1619582764 | Tenzin Wangmo | Nurse Practitioner | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-14 |
| 1629683578 | Carmen Maria Chavez Fuenmayor | Student in an Organized Health Care Education/Training Program | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-08 |
| 1093329179 | Dharma Dilia Herrera Vasquez | Student in an Organized Health Care Education/Training Program | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-04 |
| 1366054975 | Mackenzie Jameson | Social Worker | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-08-17 |
| 1639788201 | Nina Mariana Magdalena Andrias-ng | Registered Nurse | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730573148 | Lubabah Ben-ghaly | Emergency Medicine | Dept of Emergency Medicine, B1-27, Elmhurst Hospital, 7901 Broadway, Elmhurst, NY 11373 | 2015-03-24 |
| 1952661712 | Samuel Lee Ostrin | Emergency Medicine | 458 W Utley Rd, Elmhurst, IL 60126-3218 | 2012-05-25 |
| 1679734529 | Nelson Anaya | Emergency Medicine | 5155 Van Kleeck St Apt 3h, Elmhurst, NY 11373-4218 | 2008-06-24 |
| 1922155985 | Hope Fisher | Emergency Medicine | 79-01broadway, Managed Care D1-04, Elmhurst, NY 11973 | 2007-01-04 |
| 1891753000 | Mohammad N Ahsan | Emergency Medicine | 9002 Queens Blvd, Elmhurst, NY 11373-4941 | 2006-05-04 |
| 1073514220 | Thomas P. King | Emergency Medicine | 220 Berteau, Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2005-08-09 |
| 1346721289 | Icahn School of Medicine At Mount Sinai | Emergency Medicine | 7901 Broadway Rm A1-19, Elmhurst, NY 11373-1329 | 2018-08-28 |
| 1730612797 | Natalie Behnke | Emergency Medicine | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2017-04-06 |
| 1396107488 | Ryan O'halloran | Emergency Medicine | 7901 Broadway, Elmhurst, NY 11373 | 2016-03-28 |
| 1154735041 | Natalyn Garmun Wong | Emergency Medicine | 155 E Brush Hill Rd, Elmhurst, IL 60126 | 2014-06-18 |
| Find all providers in ELMHURST | ||||
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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.