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

Individual provider Psychiatry Physician · NPI 1851477186

Dr. Imtiazuddin M Siddiqui, MD is a Psychiatry in Wayne, New Jersey. Qualified in 1975, 51 years ago. Practices with Newbridge Services, Inc, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
51
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

510 Hamburg Tpke Ste E106
Wayne, NJ 07470
Phone: (973) 904-3161
Fax: (973) 904-3168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MA041078 (NJ)

Record details

NPI number1851477186
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 30, 2006
Last updated in NPPESMarch 27, 2013

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesADDICTION MEDICINE
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Group practice Newbridge Services, Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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