Individual provider Active NPI

Brad Adam Singman, MD

  • Dermatology Physician
  • Fair Lawn, NJ
National Provider Identifier
1164513354
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA58290 Issued in NJ
Practice address
20-00 Fair Lawn Ave
Fair Lawn, NJ 07410-2319
Phone
(201) 794-6000
Fax
(201) 794-7223
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MA58290 NJ Primary
Dermatology Physician 207N00000X 171501 NY

Addresses

Primary practice location

20-00 Fair Lawn Ave
Fair Lawn, NJ 07410-2319

Mailing address

20-00 Fair Lawn Ave
Fair Lawn, NJ 07410-2319
Phone (201) 794-6000

Other identifiers 2

IdentifierTypeStateIssuer
0141830MedicaidNY
6060102MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040917000330 NJ Practitioner - Dermatology 6204804362 Practice locations: Fair Lawn, NJ
I20110607000512 NY Practitioner - Dermatology 6204804362 Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1468 Richmond Ave
Staten Island, NY 10314-1550
Phone (718) 494-6699

20 -00 Fair Lawn Ave
Fair Lawn, NJ 07410-2319
Phone (201) 794-6000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision195
Removal of skin lesions965
Skin biopsy253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA58290NJMDDermatology Physician
171501NYMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1164513354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20-00 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102319",
            "telephone_number": "201-794-6000",
            "fax_number": "201-794-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20-00 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102319",
            "telephone_number": "201-794-6000",
            "fax_number": "201-794-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGMAN",
        "first_name": "BRAD",
        "middle_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA58290",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "171501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141830",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6060102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.