Individual provider Active NPI

Hirendra Pratap Sinha, MD

  • General Practice Physician
  • Center Moriches, NY
National Provider Identifier
1356455133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
142253 Issued in NY
Practice address
4 Union Avenue
Center Moriches, NY 11934
Phone
(631) 878-8667
Fax
(631) 878-8139
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 142253 NY Primary

Addresses

Primary practice location

4 Union Avenue
Center Moriches, NY 11934

Mailing address

PO Box 1145
4 Union Avenue
Central Moriches, NY 11934
Phone (631) 878-8667

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
I20110822000022 NY Practitioner - General Practice 6709056286 Practice locations: Center Moriches, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Square Care Medical Group, LLP Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15987/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356455133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "address_2": "4 UNION AVENUE",
            "city": "CENTRAL MORICHES",
            "state": "NY",
            "postal_code": "11934",
            "telephone_number": "631-878-8667",
            "fax_number": "631-878-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 UNION AVENUE",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "11934",
            "telephone_number": "631-878-8667",
            "fax_number": "631-878-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINHA",
        "first_name": "HIRENDRA",
        "middle_name": "PRATAP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "142253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

Verify at the official NPI Registry.