Organization Active NPI

Kingsley Lane Pathology Associates PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Norfolk, VA
National Provider Identifier
1396701660
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
KINGSLEY LANE PATHOLOGY ASSOCIATES PC
Practice address
150 Kingsley Lane
Norfolk, VA 23505
Phone
(757) 889-5069
Fax
(804) 355-6031
NPI assigned
Apr 25, 2006
Last updated
Dec 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Gerard Singer, MDNPI 1629034608
Title
VP Attending Pathologist
Phone
(757) 889-5069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

150 Kingsley Lane
Norfolk, VA 23505

Mailing address

PO Box 758994
Baltimore, MD 21275-6412
Phone (800) 353-0788

Other identifiers 1

IdentifierTypeStateIssuer
890158JMedicaidNC

National Provider Directory

National Provider Directory

Locations

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1396701660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758994",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212756412",
            "telephone_number": "800-353-0788",
            "fax_number": "804-355-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KINGSLEY LANE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23505",
            "telephone_number": "757-889-5069",
            "fax_number": "804-355-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY LANE PATHOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "VP ATTENDING PATHOLOGIST",
        "authorized_official_telephone_number": "757-889-5069",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890158J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.