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

Maisa Siddique

Individual provider Emergency Medicine Physician · NPI 1639660889

Maisa Siddique is an Emergency Medicine in Brooklyn, New York. Graduated from Albany Medical College of Union University in 2018, 8 years ago. Practices with Regents of the Univ of Ca, a 1,578-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2018
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Practice location Address checks out

4802 10th Ave
Brooklyn, NY 11219-2916
Phone: (917) 388-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 311101 (NY)

Record details

NPI number1639660889
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 23, 2018
Last updated in NPPESJune 7, 2022
Certification dateFebruary 17, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2018 (8 years in practice)
Group practice Regents Of The Univ Of Ca — 1578 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Brooklyn