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DR. MUSTAQ A SIDDIQUE M.D
NPI 1780809517
Psychiatry & Neurology - Child & Adolescent Psychiatry in White Plains, NY

Active since April 16, 2007PECOS Enrolled
280 DOBBS FERRY RD STE 102, WHITE PLAINS, NY 10607(914) 997-1789(914) 997-1789 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mustaq A Siddique M.d NPPES

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

DR. MUSTAQ A SIDDIQUE M.D (NPI 1780809517) is an individual child & adolescent psychiatry provider in White Plains, New York, licensed in New York (229587) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780809517
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MUSTAQ A SIDDIQUECredential: M.D
Location Address280 DOBBS FERRY RD STE 102White Plains, NY 10607-1908
Mailing Address280 Dobbs Ferry Rd Ste 102White Plains, NY 10607-1908 · (914) 997-1789 · Fax (914) 997-1789
Phone(914) 997-1789
Fax(914) 997-1789
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateOctober 19, 2015
✔ NPI 1780809517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 229587
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 229587 (NY)
280 DOBBS FERRY RD STE 102, White Plains, NY 10607
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mustaq A Siddique M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mustaq Siddique reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trustees Of Columbia University In The City Of New York
15 mi
Surgery
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
NPI 1508266347 (646) 317-7111

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE BY DESIGN THERAPEUTIC & COACHING SERVICES PLLC
Social Worker (Clinical)
280 DOBBS FERRY RD STE 102
WHITE PLAINS, NY 10607
Westchester County (646) 760-7921
MS. KIMBERLY LAUREN BONDS GROCHER LCSW
Social Worker (Clinical)
280 DOBBS FERRY RD STE 102
WHITE PLAINS, NY 10607
Westchester County (646) 760-7921

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 Mustaq Siddique's NPI number?

The NPI number for Mustaq Siddique is 1780809517. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Mustaq Siddique located?

Mustaq Siddique practices at 280 Dobbs Ferry Rd Ste 102, White Plains, NY 10607. The listed phone number is (914) 997-1789.

What is Mustaq Siddique's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Mustaq Siddique enrolled in Medicare?

Yes. Mustaq Siddique is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mustaq Siddique's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mustaq Siddique reassigns Medicare benefits to Trustees Of Columbia University In The City Of New York (New York, NY). The 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 Mustaq Siddique's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mustaq Siddique was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.