| Dr Ajaz Siddiqui, MD | |
|
755 Memorial Pkwy, Bldg. 200 Suite 201, Phillipsburg, NJ 08865-2748 | |
| (908) 835-1910 | |
| (908) 835-1924 |
| Full Name | Dr Ajaz Siddiqui |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 18 Years |
| Location | 755 Memorial Pkwy, Phillipsburg, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043645526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 25MA09335700 (New Jersey) | Primary |
| 207L00000X | Anesthesiology | MD446928 (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Anesthesia Services Llc | 5294268272 | 2 |
| Performance Medical Group Of Hillsborough Llc | 5597298596 | 9 |
| Entity Name | St Lukes Warren Physician Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467725184 PECOS PAC ID: 9739093675 Enrollment ID: O20031117000020 |
| Entity Name | Performance Medical Group Of Branchburg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679075642 PECOS PAC ID: 9234486945 Enrollment ID: O20180725002862 |
| Entity Name | Performance Medical Of Watchung Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518477918 PECOS PAC ID: 8628312501 Enrollment ID: O20181204000663 |
| Entity Name | Performance Medical Group Of Somerset |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780287326 PECOS PAC ID: 0941612360 Enrollment ID: O20201209000736 |
| Entity Name | Physician Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811732704 PECOS PAC ID: 5294268272 Enrollment ID: O20241029003517 |
| Entity Name | Performance Medical Group Of Hillsborough Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487483095 PECOS PAC ID: 5597298596 Enrollment ID: O20241029004391 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ajaz Siddiqui, MD Po Box 27957, Salt Lake City, UT 84127-0957 Ph: (908) 835-1910 | Dr Ajaz Siddiqui, MD 755 Memorial Pkwy, Bldg. 200 Suite 201, Phillipsburg, NJ 08865-2748 Ph: (908) 835-1910 |
Dr. Macy Elizabeth Rauch, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 755 Memorial Pkwy Ste 208, Phillipsburg, NJ 08865 Phone: 908-847-6756 |