1760574651 NPI number — SARVA D SINGH MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760574651 NPI number — SARVA D SINGH MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

SINGH

Provider First Name:

SARVA D

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

SINGH

Provider Other First Name:

S. D.

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

MD

Provider Other Last Name Type Code:

2

NPI Number:

1760574651

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

09/12/2024

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

42 FOREST HILLS WAY

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

CEDAR GROVE

Provider Business Mailing Address State Name:

NJ

Provider Business Mailing Address Postal Code:

07009-2031

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

973-857-8575

Provider Business Mailing Address Fax Number:

973-857-6032

Provider First Line Business Practice Location Address:

1111 CLIFTON AVE STE 204

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

CLIFTON

Provider Business Practice Location Address State Name:

NJ

Provider Business Practice Location Address Postal Code:

07013-3633

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

973-779-9500

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

09/28/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207R00000X , with the licence number:  25MA04873000 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 223039747 . This is a "HEALTHFIRST" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 223039747 . This is a "ALL INSURANCE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 0350001 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
• Identifier: P518984 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 223039747 . This is a "HEALTHNET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 10699500 . This is a "CAQH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 223039747 . This is a "AARP" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 223039747 . This is a "PHCS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 46996 . This is a "AETNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 223039747 . This is a "BLUCROSS BLUSHIELD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 223039747 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 223039747 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".