1215095187 NPI number — SINGAL MEDICAL PC

Table of content: (NPI 1952403693)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215095187 NPI number — SINGAL MEDICAL PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SINGAL MEDICAL 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:
6
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:
1215095187
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21115 JAMAICA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
QUEENS VILLAGE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11428-1532
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-454-5700
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21115 JAMAICA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
QUEENS VILLAGE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11428-1532
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-454-5700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SINGAL
Authorized Official First Name:
SANJIV
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
718-454-5700

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  214344 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 198120 , 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)

  • Identifier: 217697 . This is a "WELLCARE OF NEW YORK PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2181175 . This is a "AETNA USH PROVIDER ID (MEDICINE)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 060068944 . This is a "MEDICARE RAILROAD PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 10203619 . This is a "AMERIGROUP COMMUNITY CARE PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 198120-A17 . This is a "HEALTHFIRST 65 PLUS PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2C1450 . This is a "HEALTHNET PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 165976 . This is a "ELDERPLAN PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 198120-A27 . This is a "HEALTHFIRST PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 31P1671 . This is a "NEW YORK PRESBYTERIAN COMMUNITY HEALTH PLAN PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1891579 . This is a "UNITED HEALTHCARE PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 198120 . This is a "NEIGHBORHOOD HEALTH PLAN PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000075674 . This is a "GHI HMO PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 04-03482 . This is a "UNITED HEALTHCARE COMPLETE (MEDICARE) PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1000033818 . This is a "AFFINITY HEALTH PLAN PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 100189157901 . This is a "UNITED HEALTH CARE OF NY PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 153399 . This is a "VYTRA HEALTH PLAN ( CARDIOLOGY)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 198120P . This is a "HIP PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 3132296 . This is a "AETNA PROVIDER ID (CARDIOLOGY)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 348480101 . This is a "HEALTHPLUS PROVIDER ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 6948157011 . This is a "CIGNA PROVIDER ID (INTERNAL MEDICINE)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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