CATHEDRAL LEDGE AESTHETICS AND WELLNESS
NPI 1083487599
General Practice in Conway, NH

Q: What is Cathedral Ledge Aesthetics And Wellness's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since November 06, 2023

53 TECHNOLOGY LN STE 105, CONWAY, NH 03818(603) 662-2557 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2026, Mar 17, 2026, Nov 15, 2023 and 1 more (4 updates tracked since 2023).

On this page

About Cathedral Ledge Aesthetics And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CATHEDRAL LEDGE AESTHETICS AND WELLNESS (NPI 1083487599) is a healthcare organization registered as a general practice in Conway, New Hampshire and active in the NPI registry since November 2023. The organization lists Sohaib Siddiqui, Owner, as its authorized official.

NPPES Registry Identity

NPI1083487599

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCATHEDRAL LEDGE AESTHETICS AND WELLNESS

Location Address53 TECHNOLOGY LN STE 105Conway, NH 03818-0299

Mailing AddressPo Box 308Conway, NH 03818-0308 · (603) 662-2557

Phone(603) 662-2557

Organization SubpartNo

Authorized OfficialSohaib SiddiquiOwner · (603) 662-2557

Enumeration DateNovember 6, 2023

Last NPPES UpdateJuly 10, 20264 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1083487599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

53 TECHNOLOGY LN STE 105, Conway, NH 03818

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cathedral Ledge Aesthetics And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cathedral Ledge Aesthetics And Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sohaib Siddiqui, MD

Family Practice

NPI 1073712725

53 TECHNOLOGY LN STE 105
Conway, NH 03818

(603) 387-4523

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cathedral Ledge Aesthetics And Wellness's NPI number?

The NPI number for Cathedral Ledge Aesthetics And Wellness is 1083487599. It was assigned to this organization in the NPPES registry on November 6, 2023.

Where is Cathedral Ledge Aesthetics And Wellness located?

Cathedral Ledge Aesthetics And Wellness is located at 53 Technology Ln Ste 105, Conway, NH 03818. The listed phone number is (603) 662-2557.

What is Cathedral Ledge Aesthetics And Wellness's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Cathedral Ledge Aesthetics And Wellness enrolled in Medicare?

Yes. Cathedral Ledge Aesthetics And Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cathedral Ledge Aesthetics And Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Cathedral Ledge Aesthetics And Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cathedral Ledge Aesthetics And Wellness accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Cathedral Ledge Aesthetics And Wellness as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cathedral Ledge Aesthetics And Wellness was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.