Active NPI
Prabaljot Singh
- Physical Therapist
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034864
- Practice address
- 475 Northern Blvd Ste 11
Great Neck, NY 11021 - Phone
- (516) 829-0030
- Fax
- (516) 466-7723
- NPI assigned
- May 30, 2012
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 034864 | NY | Primary |
Addresses
Primary practice location
475 Northern Blvd Ste 11
Great Neck, NY 11021
Mailing address
475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone (516) 829-0030
Other practice location 1
8429 123rd St
Kew Gardens, NY 11415-3304
Phone (901) 921-1313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
309 Northwest Dr
Farmingdale, NY 11735-4935
Phone (516) 420-2900
556 B Middle Neck Rd
Great Neck, NY 11023-1422
Phone (516) 487-9810
83 Forest Ave
Glen Cove, NY 11542-2115
Phone (516) 464-2346
9785 Queens Blvd
Rego Park, NY 11374-3319
Phone (718) 261-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034864 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marathon Physical Therapy of Ny PC | Physical Therapist | Current | Accepting new patients |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
| Reddy Care Physical and Occupational Therapy PLLC | Physical Therapist | Past | Accepting new patients |
Locations
800 E Gate Blvd
Garden City, NY 11530
83 Forest Ave
Glen Cove, NY 11542
Phone (516) 305-1398
556B Middle Neck Rd
Great Neck, NY 11023
Phone (516) 487-9810
475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Great Neck, NY
- NPI 1649544834
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
- Specialist
- Great Neck, NY
- NPI 1932171097
-
- Specialist
- Great Neck, NY
- NPI 1477052967
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1174884720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 NORTHERN BLVD STE 11",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214802",
"telephone_number": "516-829-0030",
"fax_number": "516-466-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 NORTHERN BLVD STE 11",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-829-0030",
"fax_number": "516-466-7723"
}
],
"practiceLocations": [
{
"address_1": "8429 123rd St",
"address_purpose": "LOCATION",
"city": "Kew Gardens",
"state": "NY",
"postal_code": "114153304",
"country_code": "US",
"telephone_number": "901-921-1313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SINGH",
"first_name": "PRABALJOT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-30",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.