AZAM SIDDIQUI
NPI 1902335524
Pediatrics - Neonatal-Perinatal Medicine in Pomona, NJ

Active since June 07, 2017PECOS Enrolled
65 W JIMMIE LEEDS RD, POMONA, NJ 08240(609) 404-3817 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 7, 2017 (2 updates tracked since 2017).

About Azam Siddiqui NPPES

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

AZAM SIDDIQUI (NPI 1902335524) is an individual neonatal-perinatal medicine provider in Pomona, New Jersey, licensed in New Jersey (25MA01234500) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902335524
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameAZAM SIDDIQUI
Location Address65 W JIMMIE LEEDS RDPomona, NJ 08240-9102
Mailing Address3511 Schooner RdgAlpharetta, GA 30005-4259 · (678) 756-6503
Sole ProprietorNo
Enumeration DateJune 7, 2017
Last NPPES UpdateMarch 15, 20242 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1902335524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NJ · 25MA01234500
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
65 W JIMMIE LEEDS RD, Pomona, NJ 08240

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azam Siddiqui 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 Reassignments

2

Medicare enrollment records show Azam Siddiqui reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Emergency Medicine
100 BOWMAN DR, CHOP CARE NETWORK AT VIRTUA VOORHEES HOSPITAL
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Children's Health Care Associates Of New Jersey PC
  • 190 clinicians in this Medicare group
Pediatric Dermatology
3500 CIVIC CENTER BLVD FL 6
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group

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 20

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

Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Nurse Practitioner (Family)
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Nurse Practitioner (Adult Health)
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
General Acute Care Hospital
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD, ANESTHESIA DEPARTMENT
POMONA, NJ 08240
Pharmacy (Community/Retail Pharmacy)
65 W JIMMIE LEEDS RD
POMONA, NJ 08240

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 Azam Siddiqui's NPI number?

The NPI number for Azam Siddiqui is 1902335524. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Azam Siddiqui located?

Azam Siddiqui practices at 65 W Jimmie Leeds Rd, Pomona, NJ 08240. The listed phone number is (609) 404-3817.

What is Azam Siddiqui's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Azam Siddiqui enrolled in Medicare?

Yes. Azam Siddiqui is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Azam Siddiqui's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Azam Siddiqui reassigns Medicare benefits to 2 organizations: Childens Health Care Associates Of New Jersey PC (Voorhees, NJ) and Childrens Health Care Associates, Inc (Philadelphia, PA). Each 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 Azam Siddiqui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Azam Siddiqui accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Azam Siddiqui 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 Azam Siddiqui was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.