Azam Siddiqui, in Pomona, NJ - Medicare Pediatrics

Azam Siddiqui, is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Pomona, New Jersey. His current practice location is 65 W Jimmie Leeds Rd, Pomona, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 404-3817.

Azam Siddiqui is licensed to practice in New Jersey (license number 25MA01234500) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902335524.

Contact Information

	Azam Siddiqui,
	65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102
	(609) 404-3817
	Not Available

Map and Direction

Physician's Profile

Full Name	Azam Siddiqui
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	65 W Jimmie Leeds Rd, Pomona, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902335524
Provider Enumeration Date: 06/07/2017
Last Update Date: 03/15/2024

Medicare PECOS Information:

PECOS PAC ID: 7416228416
Enrollment ID: I20240126002738

Medical Identifiers

Medical identifiers for Azam Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902335524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	25MA01234500 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Azam Siddiqui allows following entities to bill medicare on his behalf.

Entity Name	Children's Health Care Associates Of New Jersey Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427152917 PECOS PAC ID: 1052219110 Enrollment ID: O20031229000053

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Azam Siddiqui is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Azam Siddiqui, 3511 Schooner Rdg, Alpharetta, GA 30005-4259 Ph: (678) 756-6503	Azam Siddiqui, 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 Ph: (609) 404-3817

Reviews and Comments

Pediatrics Doctors in Pomona, NJ

Dr. Taral Divyakant Mehta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Atlanticare Regional Medical Center, Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 609-748-5988
Dr. Stephanie Anne Grayson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-652-1000
Dr. Jennifer Tioseco, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-404-3816 Fax: 609-404-3818
Cynthia D. Villasis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-404-3816
Dr. Mark F. Ditmar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Atlanticare Regional Medical Center, Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 609-748-5988
Benedict E Asiegbu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Chop Care Network @ Atlanticare, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 302-651-4945
Dr. Pietros Hadgu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Atlanticare Regional Medical Center, Jimmie Leeds Road, Pomona, NJ 08240 Phone: 609-652-1000 Fax: 609-404-3818

Azam Siddiqui, - Medicare Pediatrics in Pomona, NJ