Individual provider Active NPI

Anup Singh, MD

  • Pediatric Nephrology Physician
  • Staten Island, NY
National Provider Identifier
1245225242
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
198676 Issued in NY
Practice address
584 Forest Ave
Staten Island, NY 10310-2512
Phone
(718) 226-5613
NPI assigned
Sep 15, 2005
Last updated
Aug 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X 198676 NY Primary

Addresses

Primary practice location

584 Forest Ave
Staten Island, NY 10310-2512

Mailing address

584 Forest Ave
Staten Island, NY 10310-2512
Phone (718) 226-5613

Other identifiers 1

IdentifierTypeStateIssuer
01550669MedicaidNY

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
I20040615001239 NJ Practitioner - NephrologyPractitioner - Pediatric Medicine 2365426616 Reassigns benefits to 3 organizations
I20050624000994 NY Practitioner - Pediatric MedicinePractitioner - Nephrology 2365426616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Pediatric Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians
Saint Peter's Specialty Physicians PCGroup PAC ID 8426373952, 16 clinicians

Practice addresses (Care Compare)

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600

308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 620-3120

500 River Ave
Suite 110
Lakewood, NJ 08701-4738
Phone (732) 339-7360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198676NYMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince May 1, 2019 Accepting new patients
Saint Peter's University Hospital CurrentSince Aug 7, 2016 Accepting new patients
Saint Peter's University Hospital CurrentSince Aug 7, 2016 Accepting new patients
Saint Peter's Healthcare System Physician Associates CurrentSince Aug 7, 2016 Accepting new patients
Saint Peter's Specialty Physicians, P.C. CurrentSince Nov 9, 2023 Accepting new patients
University Physicians Group P C Pediatric Nephrology Past Accepting new patients
University Physicians of Brooklyn, Inc. Pediatric Nephrology Past Accepting new patients

Locations

500 River Ave
Ste 110
Lakewood, NJ 08701
Phone (732) 339-7360

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674

908 Oak Tree Ave
Ste C
South Plainfield, NJ 07080
Phone (732) 565-5487

300 Community Dr
Manhasset, NY 11030

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

584 Forest Ave
Staten Island, NY 10310
Phone (718) 226-5619

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: anup.singh.1@8568.direct.athenahealth.com
  • Direct secure messaging: anup.singh.2@8568.direct.athenahealth.com
  • Direct secure messaging: anup.singh.3@8568.direct.athenahealth.com
  • Direct secure messaging: asingh425479@direct.ahsys.org
  • Direct secure messaging: asingh51828@northwell.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1245225242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102512",
            "telephone_number": "718-226-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102512",
            "telephone_number": "718-226-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "ANUP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NY",
            "license": "198676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01550669",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.