Organization Active NPI

Peninsula Neurology LTD

  • Specialist
  • Newport News, VA
National Provider Identifier
1013008309
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101041732 Issued in VA
Legal business name
PENINSULA NEUROLOGY LTD
Practice address
802 Lockwood Ave Ste a
Newport News, VA 23602-4479
Phone
(757) 872-9797
Fax
(757) 872-9711
NPI assigned
Sep 28, 2006
Last updated
Aug 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rajinder P Singh, MDNPI 1649229964
Title
Owner
Phone
(757) 872-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101041732 VA Primary

Addresses

Primary practice location

802 Lockwood Ave Ste a
Newport News, VA 23602-4479

Mailing address

802 Lockwood Ave Ste a
Newport News, VA 23602-4479
Phone (757) 872-9797

Other identifiers 6

IdentifierTypeStateIssuer
130019108OtherVARAILROAD MEDICARE
394415OtherVAANTHEM
010006279MedicaidVA
7116497MedicaidVA
465662OtherVAANTHEM
P00205034OtherVARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1013008309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 LOCKWOOD AVE STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024479",
            "telephone_number": "757-872-9797",
            "fax_number": "757-872-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 LOCKWOOD AVE STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024479",
            "telephone_number": "757-872-9797",
            "fax_number": "757-872-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA NEUROLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "RAJINDER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-872-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101041732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130019108",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "394415",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010006279",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7116497",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "465662",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00205034",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.