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

Anam Siddiqui

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609266956

Anam Siddiqui is a Nephrology in Fresh Meadows, New York. Qualified in 2009, 17 years ago. Practices with Queens Nephrology Practice PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2015
Specialties on file
2

Practice location Address checks out

16040 78th Rd
Fresh Meadows, NY 11366-1969
Phone: (347) 475-0911
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 291012 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609266956
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 26, 2015
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021
Mailing address4500 Parsons Blvd, Flushing, NY 11355-2205

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Queens Nephrology Practice Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fresh Meadows