Individual provider Active NPI

Ravjeet Singh, PA

  • Physician Assistant
  • Bethpage, NY
National Provider Identifier
1588911325
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
016410-1 Issued in NY
Practice address
1055 Stewart Ave
Bethpage, NY 11714-3596
Phone
(516) 938-0100
Fax
(516) 938-0120
NPI assigned
Aug 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 016410-1 NY Primary

Addresses

Primary practice location

1055 Stewart Ave
Bethpage, NY 11714-3596

Mailing address

55 Water Street
New York, NY 10041-0004
Phone (646) 680-2888

Other practice location 1

75 Broad St
New York, NY 10004
Phone (877) 456-0369

Other practice location 2

75 Broad St
New York, NY 10004
Phone (877) 456-0369

Other practice location 3

75 Broad St
New York, NY 10004
Phone (877) 456-0369

Other practice location 4

75 Broad St
New York, NY 10004
Phone (877) 456-0369

Other practice location 5

86-15 Queens Blvd
Elmhurst, NY 11373-4427
Phone (718) 899-6600

Other practice location 6

206-20 Linden Blvd
Cambria Heights, NY 11411-1524
Phone (718) 479-6600

Other practice location 7

350 South Broadway
Hicksville, NY 11801
Phone (516) 938-0100

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151229001830 NY Practitioner - Physician Assistant 0345490561 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016410-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Queens Long Island Medical Group, P.C. Past Accepting new patients

Locations

1055 Stewart Ave
Bethpage, NY 11714
Phone (516) 938-0100

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

20620 Linden Blvd
Cambria Hts, NY 11411
Phone (718) 479-6600

8615 Queens Blvd
Flushing, NY 11373
Phone (917) 297-8500

9610 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 459-0400

350 S Broadway
Hicksville, NY 11801
Phone (516) 733-8085

55 Water St
New York, NY 10041
Phone (646) 447-5000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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": "1344643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1588911325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410004",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 STEWART AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143596",
            "telephone_number": "516-938-0100",
            "fax_number": "516-938-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Broad St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10004",
            "country_code": "US",
            "telephone_number": "877-456-0369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Broad St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10004",
            "country_code": "US",
            "telephone_number": "877-456-0369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Broad St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10004",
            "country_code": "US",
            "telephone_number": "877-456-0369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Broad St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10004",
            "country_code": "US",
            "telephone_number": "877-456-0369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86-15 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113734427",
            "country_code": "US",
            "telephone_number": "718-899-6600",
            "fax_number": "718-606-3881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206-20 Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Cambria Heights",
            "state": "NY",
            "postal_code": "114111524",
            "country_code": "US",
            "telephone_number": "718-479-6600",
            "fax_number": "718-264-7080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 South Broadway",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "11801",
            "country_code": "US",
            "telephone_number": "516-938-0100",
            "fax_number": "516-938-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "RAVJEET",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-11",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016410-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

Verify at the official NPI Registry.