Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Si Medical Practice Associate PC

Organization Sports Medicine (Family Medicine) Physician · NPI 1265505036

Si Medical Practice Associate PC is a Sports Medicine (Family Medicine) Physician in Staten Island, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1147 Richmond Rd
Staten Island, NY 10304
Phone: (718) 668-2340
Fax: (718) 668-2523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1265505036
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Azher Siddiqi — Owner President · (718) 668-2340
Other names Si Family Practice Associate
NPI enumeratedNovember 17, 2006
Last updated in NPPESFebruary 25, 2014
Mailing address1147 Richmond Road, Staten Island, NY 10304