1861474702 NPI number — JEFFREY SINGER, MD (APMC)

Table of content: (NPI 1861474702)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861474702 NPI number — JEFFREY SINGER, MD (APMC)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JEFFREY SINGER, MD (APMC)
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861474702
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4720 S I 10 SERVICE RD W
Provider Second Line Business Mailing Address:
SUITE 406
Provider Business Mailing Address City Name:
METAIRIE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70001-7404
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-456-3155
Provider Business Mailing Address Fax Number:
504-456-3113

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4720 S I 10 SERVICE RD W
Provider Second Line Business Practice Location Address:
SUITE 406
Provider Business Practice Location Address City Name:
METAIRIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70001-7404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-456-3155
Provider Business Practice Location Address Fax Number:
504-456-3113
Provider Enumeration Date:
11/16/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SINGER
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
HARRIS
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
504-456-3155

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  MD.10414R , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1447960 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".