Individual provider Active NPI

Jitendra V Singh, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Halfmoon, NY
National Provider Identifier
1285834333
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
245038 Issued in NY
Practice address
103 Sitterly Rd Ste 2200
Halfmoon, NY 12065-5646
Phone
(518) 761-9500
Fax
(518) 761-9525
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 245038 NY Primary

Addresses

Primary practice location

103 Sitterly Rd Ste 2200
Halfmoon, NY 12065-5646

Mailing address

103 Sitterly Rd Ste 2200
Halfmoon, NY 12065-5646
Phone (518) 761-9500

Other practice location 1

115 Maple St
Glens Falls, NY 12801-3630
Phone (518) 761-9500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080211000246 NY Practitioner - Plastic and Reconstructive Surgery 2961585286 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245038NYMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Vein PC PastSince Jan 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1285834333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SITTERLY RD STE 2200",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120655646",
            "telephone_number": "518-761-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SITTERLY RD STE 2200",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120655646",
            "telephone_number": "518-761-9500",
            "fax_number": "518-761-9525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Maple St",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128013630",
            "country_code": "US",
            "telephone_number": "518-761-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "JITENDRA",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "245038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halfmoon, NY

Sources for this page

Verify at the official NPI Registry.