DR. IMTIAZUDDIN M SIDDIQUI (NPI# 1851477186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851477186 |
| Entity Type | Individual |
| Full Name | DR. IMTIAZUDDIN M SIDDIQUI |
| Credential | MD |
| Practice Address |
510 Hamburg Turnpike Suite E106 Wayne NJ 07470 |
| Mailing Address |
252 Washington Valley Road Randolph NJ 07869 |
| Practice Telephone | 9739043161 |
| Practice Fax Number | 9739043168 |
| Mailing Telephone | 9739043161 |
| Mailing Fax Number | 9739043163 |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2013-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MA041078 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7833008 | 05 |
| Street Address |
510 HAMBURG TURNPIKE SUITE E106 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114125234 | Tarek Rashid | Internal Medicine | 510 Hamburg Turnpike, 101, Wayne, NJ 07470 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871959932 | Karen Banner | Psychiatry & Neurology | 814 Caldwell Rd, Wayne, PA 19087-2058 | 2016-01-05 |
| 1114243805 | Anna Kravtsov | Psychiatry & Neurology | 401 Hamburg Tpke Ste 302, Wayne, NJ 07470-2139 | 2010-04-20 |
| 1205151230 | Priscilla G. Ilem, Md, Mph, LLC | Psychiatry & Neurology | 782 Alps Road, Wayne, NJ 07470-3920 | 2010-04-01 |
| 1962637280 | Preakness Medical Care, LLC | Psychiatry & Neurology | 1466 Ratzer Rd, Wayne, NJ 07470-2430 | 2009-05-17 |
| 1467698035 | David Michelson | Psychiatry & Neurology | 424 Louella Ave, Wayne, PA 19087-4816 | 2009-01-01 |
| 1538329396 | Maria G Master | Psychiatry & Neurology | 40 Hamilton Ave, Wayne, NJ 07470-3059 | 2008-06-13 |
| 1992903512 | David M Danish | Psychiatry & Neurology | 987 Old Eagle School Rd Ste 719, Wayne, PA 19087 | 2007-07-05 |
| 1053434373 | Dennis William Donnelly | Psychiatry & Neurology | 425 Homestead Rd, Wayne, PA 19087-2433 | 2007-04-10 |
| 1346340593 | Sudha R N Nair | Psychiatry & Neurology | 150 Strafford Ave Ste 210, Wayne, PA 19087 | 2006-09-25 |
| 1497858740 | Claire Monica Belgrave | Psychiatry & Neurology | 145 Kenova Ave, Wayne, WV 25570 | 2006-09-05 |
| Find all providers in WAYNE | ||||
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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.