Active NPI
Pritam Singh, MD
- Internal Medicine Physician
- Astoria, NY
National Provider Identifier
1164408134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 119394
- Practice address
- 2714 Ditmars Blvd
Astoria, NY 11105-2704 - Phone
- (718) 278-1484
- Fax
- (718) 777-0109
- NPI assigned
- Dec 21, 2005
- Last updated
- Oct 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 119394 | NY | Primary |
Addresses
Primary practice location
2714 Ditmars Blvd
Astoria, NY 11105-2704
Mailing address
2714 Ditmars Blvd
Astoria, NY 11105-2704
Phone (718) 278-1484
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00223794 | Medicaid | NY | |
| 0034469 | Other | NY | GHI COMMERCIAL |
| 0H942P | Other | NY | HEALTHCARE PARTNERS |
| 0H942P | Other | NY | HIP OF NY |
| 1000015523 | Other | NY | AFFINITY |
| 9054865 | Other | NY | CIGNA |
| 119394 | Other | NY | LIC # |
| 119394-A | Other | NY | HEALTH FIRST |
| 182380 | Other | NY | ELDERPLAN |
| 82459 | Other | NY | UNITED HEALTHCARE |
| P767965 | Other | NY | OXFORD HEATH PLAN |
| 6C3011 | Other | NY | HEALTHNET |
| 5651121 | Other | NY | AETNA |
| 040426017698 | Other | NY | FIDELIS |
| 100008245901 | Other | NY | AMERICHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080430000599 | NY | Practitioner - Internal Medicine | 5890874994 | Practice locations: Astoria, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119394 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1164408134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2714 DITMARS BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052704",
"telephone_number": "718-278-1484",
"fax_number": "718-777-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2714 DITMARS BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052704",
"telephone_number": "718-278-1484",
"fax_number": "718-777-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGH",
"first_name": "PRITAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "119394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00223794",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI COMMERCIAL",
"identifier": "0034469",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PARTNERS",
"identifier": "0H942P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP OF NY",
"identifier": "0H942P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY",
"identifier": "1000015523",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9054865",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC #",
"identifier": "119394",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "119394-A",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "182380",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "82459",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEATH PLAN",
"identifier": "P767965",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "6C3011",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5651121",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426017698",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "100008245901",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.