Healthcare Provider Details

I. General information

NPI: 1982223533
Provider Name (Legal Business Name): EMAAD SIDDIQUI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 PARK AVE
FLORHAM PARK NJ
07932-1049
US

IV. Provider business mailing address

485 MARIN BLVD APT 1723
JERSEY CITY NJ
07302-1780
US

V. Phone/Fax

Practice location:
  • Phone: 973-404-9900
  • Fax:
Mailing address:
  • Phone: 201-294-7869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA12738300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number207RC0000X
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: