1316199144 NPI number — RANJIT SINGH MD PC

Table of content: (NPI 1316199144)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316199144 NPI number — RANJIT SINGH MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RANJIT SINGH MD PC
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:
1316199144
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
248 BAYVILLE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAYVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11709-1616
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-794-4161
Provider Business Mailing Address Fax Number:
516-794-9568

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8360 265TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLEN OAKS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11004-1721
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-794-4161
Provider Business Practice Location Address Fax Number:
516-794-9568
Provider Enumeration Date:
10/10/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RESTIVO
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF CREDENTIALING
Authorized Official Telephone Number:
516-794-4161

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  241798 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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