Organization Active NPI

Jitendra Singh, MD, P.C.

  • Medical Specialty Clinic/Center
  • Glens Falls, NY
National Provider Identifier
1467726588
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
245038 Issued in NY
Legal business name
JITENDRA SINGH, MD, P.C.
Practice address
115 Maple St
Glens Falls, NY 12801-3630
Phone
(518) 761-9500
Fax
(518) 761-9525
NPI assigned
Mar 7, 2012
Last updated
Mar 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Dr. Jitendra Singh, M.D.NPI 1285834333
Title
Owner
Phone
(518) 761-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 245038 NY Primary

Addresses

Primary practice location

115 Maple St
Glens Falls, NY 12801-3630

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
J400000137OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080211000255 NY Part B Supplier - Clinic/Group Practice 9133202468 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: New Hyde Park, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1 Broad Street Plz
Ste 200
Glens Falls, NY 12801

11 Spring St
Saratoga Springs, NY 12866
Phone (518) 761-9500

Practitioners & affiliated clinicians

Practitioners 3

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": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1467726588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAPLE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013630",
            "telephone_number": "518-761-9500",
            "fax_number": "518-761-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAPLE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013630",
            "telephone_number": "518-761-9500",
            "fax_number": "518-761-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JITENDRA SINGH, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-761-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "245038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "J400000137",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.