Individual provider Active NPI

Mridul Gopal Singh

  • Pharmacist
  • Mount Kisco, NY
National Provider Identifier
1417476748
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063467 Issued in NY
Practice address
55-59 South Moger Ave
Mt Kisco, NY 10549
Phone
(914) 241-6373
Fax
(845) 241-8430
NPI assigned
Sep 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 063467 NY Primary

Addresses

Primary practice location

55-59 South Moger Ave
Mt Kisco, NY 10549

Mailing address

3 Northlyn CT
Bardonia, NY 10954-1425
Phone (845) 591-1435

Other practice location 1

50 N Greeley Ave
Chappaqua, NY 10514-3410
Phone (914) 238-4156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
063467NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1417476748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NORTHLYN CT",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109541425",
            "telephone_number": "845-591-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-59 SOUTH MOGER AVE",
            "city": "MT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-241-6373",
            "fax_number": "845-241-8430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 N Greeley Ave",
            "address_purpose": "LOCATION",
            "city": "Chappaqua",
            "state": "NY",
            "postal_code": "105143410",
            "country_code": "US",
            "telephone_number": "914-238-4156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "MRIDUL",
        "middle_name": "GOPAL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-19",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.