Provider Demographics
NPI:1215263793
Name:ASHOK K. SINHA MD PA
Entity type:Organization
Organization Name:ASHOK K. SINHA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:732-946-2995
Mailing Address - Street 1:PO BOX 405
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-0405
Mailing Address - Country:US
Mailing Address - Phone:732-946-2995
Mailing Address - Fax:732-658-3413
Practice Address - Street 1:25 MULE RD
Practice Address - Street 2:B10
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-5035
Practice Address - Country:US
Practice Address - Phone:732-505-9910
Practice Address - Fax:732-505-9913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA43878207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5271304Medicaid
NJ5271304Medicaid