Organization Active NPI

Bhanmatie Singh DO PA

  • Family Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1033679329
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BHANMATIE SINGH DO PA
Practice address
5341 W Atlantic Ave Ste 300C
Delray Beach, FL 33484-8166
Phone
(561) 501-4992
Fax
(844) 274-9201
NPI assigned
Mar 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Authorized official

Name
Bhanmatie Singh, DONPI 1588830426
Title
Owner
Phone
(561) 501-4992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5341 W Atlantic Ave Ste 300C
Delray Beach, FL 33484-8166

Mailing address

5341 W Atlantic Ave Ste 300C
Delray Beach, FL 33484-8166
Phone (561) 501-4992

Other identifiers 1

IdentifierTypeStateIssuer
000322400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190906002322 FL Part B Supplier - Clinic/Group Practice 6800125402 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

5341 Atlantic Ave
Ste 300C
Delray Beach, FL 33484
Phone (561) 501-4992

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1033679329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 W ATLANTIC AVE STE 300C",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848166",
            "telephone_number": "561-501-4992",
            "fax_number": "844-274-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 W ATLANTIC AVE STE 300C",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848166",
            "telephone_number": "561-501-4992",
            "fax_number": "844-274-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHANMATIE SINGH DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "BHANMATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-501-4992",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000322400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.