1. Home
  2. Directory
  3. New Jersey
  4. Pomona
  5. Pediatrics
  6. NPI Profile

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: August 09, 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
Phone(609) 404-3817
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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

COURTNEY PAIGE REED
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 335-8012
KLISA D. HARGROVE-LOPER CRNA
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 652-3444
JILLIAN ULLO
Nurse Practitioner (Family)
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 748-7089
ASHLEIGH BRY
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 652-1000
PHILLIP CAMPANELLA
Nurse Practitioner (Adult Health)
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 652-1000
ATLANTICARE REGIONAL MEDICAL CENTER
General Acute Care Hospital
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 652-1000
SUSAN SCHRENK CRNA
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD, ANESTHESIA DEPARTMENT
POMONA, NJ 08240
Atlantic County (609) 748-7597
DANA WIGHTMAN PA-C
Physician Assistant (Surgical)
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 441-8146

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.

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.