Organization Active NPI

Jitendra Singh M.D. P.C.

  • Plastic and Reconstructive Surgery Physician
  • Glens Falls, NY
National Provider Identifier
1487841805
Registry record updated Sep 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
245038 Issued in NY
Legal business name
JITENDRA SINGH M.D. P.C.
Practice address
115 Maple St
Glens Falls, NY 12801-3630
Phone
(518) 761-9500
Fax
(518) 761-9525
NPI assigned
Sep 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2007

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 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 names 1

  • New York Plastic Surgery of Glens Falls Doing business as

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
This NPI is an additional NPI on the 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

NPI Registry JSON

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

{
    "created_epoch": "1191110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191110400000",
    "number": "1487841805",
    "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 M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-30",
        "last_updated": "2007-09-30",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-761-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "245038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Plastic Surgery of Glens Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 30, 2007; 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.