Individual provider Active NPI

Supreet Singh, M.D.

  • Diagnostic Radiology Physician
  • Martinsville, NJ
National Provider Identifier
1659530921
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.129714 Issued in OH
Practice address
11 Loller Dr
Martinsville, NJ 08836-2027
Phone
(201) 315-5774
Fax
(330) 572-3836
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.129714 OH Primary

Addresses

Primary practice location

11 Loller Dr
Martinsville, NJ 08836-2027

Mailing address

11 Loller Dr
Martinsville, NJ 08836-2027
Phone (201) 315-5774

Other identifiers 1

IdentifierTypeStateIssuer
0224748MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, PA, OH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090724000296 NY Practitioner - Diagnostic Radiology 2466505375 Reassigns benefits to 1 organization
I20090921000255 NJ Practitioner - Diagnostic Radiology 2466505375 Reassigns benefits to 3 organizations
I20161229001808 PA Practitioner - Diagnostic Radiology 2466505375 Reassigns benefits to 2 organizations
I20210114001093 OH Practitioner - Diagnostic Radiology 2466505375 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

107 Royal Birkdale Dr
Suite a
Columbiana, OH 44408-8493
Phone (330) 729-1934

11 Loller Dr
Martinsville, NJ 08836-2027
Phone (718) 223-4685

44 Palmer Dr
Moorestown, NJ 08057-3880
Phone (888) 522-4514

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.129714OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Aug 20, 2018 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jun 1, 2014 Accepting new patients
Mercy Health Physicians Youngstown, LLC Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Aug 20, 2018 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Jun 16, 2023 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Oct 1, 2020 Accepting new patients
Aultman Now Urgent Care, LLC CurrentSince Mar 17, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology Past Accepting new patients
Brookhaven Memorial Hospital Medical Center Diagnostic Radiology Past Accepting new patients

Locations (25 of 67)

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

4507 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

110 Wyckoff Ave
Brooklyn, NY 11237
Phone (718) 486-4155

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

500 Commack Rd
Commack, NY 11725
Phone (516) 809-9666

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400

2200 Northern Blvd
Greenvale, NY 11548
Phone (516) 482-0080

275 North St
Harrison, NY 10528
Phone (914) 925-5211

712 Main St
Islip, NY 11751
Phone (631) 666-3939

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

77 Route 112
Patchogue, NY 11772
Phone (631) 207-2370

161 E Main St
Port Jervis, NY 12771
Phone (845) 856-3284

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

Interoperability endpoints

  • Direct secure messaging: ssingh654820@direct.bsmhealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1659530921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LOLLER DR",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362027",
            "telephone_number": "201-315-5774",
            "fax_number": "330-572-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LOLLER DR",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362027",
            "telephone_number": "201-315-5774",
            "fax_number": "330-572-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "SUPREET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.129714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0224748",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, NJ

Sources for this page

Verify at the official NPI Registry.