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

Mohammed A Siddique, MD

Individual provider Internal Medicine Physician · NPI 1871699470

Mohammed A Siddique, MD is an Internal Medicine in Ozone Park, New York. Qualified in 1979, 47 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
47
Licensed in
NY
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

7607 101st Ave
Ozone Park, NY 11416-1934
Phone: (718) 848-2555
Fax: (718) 848-4097
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 186856 (NY)

Record details

NPI number1871699470
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 8, 2007
Mailing address7607 101st Ave, Ozone Park, NY 11416-1934

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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