Provider Demographics
| NPI: | 1215095187 |
|---|---|
| Name: | SINGAL MEDICAL PC |
| Entity type: | Organization |
| Organization Name: | SINGAL MEDICAL PC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SANJIV |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | SINGAL |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 718-454-5700 |
| Mailing Address - Street 1: | 21115 JAMAICA AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | QUEENS VILLAGE |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 11428-1532 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 718-454-5700 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 21115 JAMAICA AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | QUEENS VILLAGE |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 11428-1532 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 718-454-5700 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-12-04 |
| Last Update Date: | 2008-07-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NY | 214344 | 207R00000X |
| NY | 198120 | 207RC0000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Multi-Specialty |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NY | 217697 | Other | WELLCARE OF NEW YORK PROVIDER ID |
| NY | 2181175 | Other | AETNA USH PROVIDER ID (MEDICINE) |
| NY | 060068944 | Other | MEDICARE RAILROAD PROVIDER ID |
| NY | 10203619 | Other | AMERIGROUP COMMUNITY CARE PROVIDER ID |
| NY | 198120-A17 | Other | HEALTHFIRST 65 PLUS PROVIDER ID |
| NY | 2C1450 | Other | HEALTHNET PROVIDER ID |
| NY | 165976 | Other | ELDERPLAN PROVIDER ID |
| NY | 198120-A27 | Other | HEALTHFIRST PROVIDER ID |
| NY | 31P1671 | Other | NEW YORK PRESBYTERIAN COMMUNITY HEALTH PLAN PROVIDER ID |
| NY | 1891579 | Other | UNITED HEALTHCARE PROVIDER ID |
| NY | 198120 | Other | NEIGHBORHOOD HEALTH PLAN PROVIDER ID |
| NY | 000000075674 | Other | GHI HMO PROVIDER ID |
| NY | 04-03482 | Other | UNITED HEALTHCARE COMPLETE (MEDICARE) PROVIDER ID |
| NY | 1000033818 | Other | AFFINITY HEALTH PLAN PROVIDER ID |
| NY | 100189157901 | Other | UNITED HEALTH CARE OF NY PROVIDER ID |
| NY | 153399 | Other | VYTRA HEALTH PLAN ( CARDIOLOGY) |
| NY | 198120P | Other | HIP PROVIDER ID |
| NY | 3132296 | Other | AETNA PROVIDER ID (CARDIOLOGY) |
| NY | 348480101 | Other | HEALTHPLUS PROVIDER ID |
| NY | 6948157011 | Other | CIGNA PROVIDER ID (INTERNAL MEDICINE) |
| NY | P00000014911 | Other | GHI MEDICARE CHOICE PPO PROVIDER ID |
| NY | SS019N8710 | Other | EMPIRE BLUE CROSS BLUE SHIELD PROVIDER ID |
| NY | 00198120 | Other | METRO PLUS PROVIDER ID |
| NY | 6948157012 | Other | CIGNA PROVIDER ID (CARDIOLOGY) |
| NY | 98150 | Other | VYTRA HEALTH PLAN PROVIDER ID (INTERNAL MEDICINE) |
| NY | SP7624 | Other | CENTERCARE PROVIDER ID FOR CARDIOLOGY |
| NY | 010190301 | Other | AMERICHOICE OF NEW YORK PROVIDER ID |
| NY | 050713000000 | Other | FIDELIS CARE PROVIDER ID |
| NY | 1891579 | Other | UNITED HEALTHCARE ( EMPIRE PLAN) PROVIDER ID |
| NY | 2199569 | Other | GHI PROVIDER ID |
| NY | QS-0001851 | Other | SELECT PRO PROVIDER ID |
| NY | 11061593 | Other | MULTIPLAN PROVIDER ID |
| NY | B03781 | Other | CARE CORE NATIONAL PROVIDER ID |
| NY | P1274183 | Other | OXFORD PROVIDER ID |
| NY | 165976 | Other | ELDERPLAN PROVIDER ID |
| NY | 98150 | Other | VYTRA HEALTH PLAN PROVIDER ID (INTERNAL MEDICINE) |
