Organization Active NPI

Mahavir Singh Physician PC

  • Internal Medicine Physician
  • New Windsor, NY
National Provider Identifier
1679876312
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
185688 Issued in NY
Legal business name
MAHAVIR SINGH PHYSICIAN PC
Practice address
3074 9 W South
New Windsor, NY 12553
Phone
(845) 561-8910
Fax
(845) 561-8910
NPI assigned
Dec 20, 2010
Last updated
Jun 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Mahavir Singh, PHYSICIAN PCNPI 1023193323
Title
Physician
Phone
(845) 561-8902

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 185688 NY Primary

Addresses

Primary practice location

3074 9 W South
New Windsor, NY 12553

Mailing address

3074 9 W South
New Windsor, NY 12553
Phone (845) 561-8910

Other identifiers 1

IdentifierTypeStateIssuer
01277747MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110607000508 NY Part B Supplier - Clinic/Group Practice 6901083641 Receives reassigned benefits from 1 practitioner
Practice locations: New Windsor, NY

National Provider Directory

National Provider Directory

Locations

3074 Route 9W
#100
New Windsor, NY 12553
Phone (845) 561-8902

3074 US Highway 9W
New Windsor, NY 12553
Phone (845) 561-8902

Practitioners & affiliated clinicians

Practitioners 1

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": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1679876312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 9 W SOUTH",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "12553",
            "telephone_number": "845-561-8910",
            "fax_number": "845-561-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 9 W SOUTH",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "12553",
            "telephone_number": "845-561-8910",
            "fax_number": "845-561-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHAVIR SINGH PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "MAHAVIR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "845-561-8902",
        "authorized_official_credential": "PHYSICIAN PC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "185688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01277747",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.