Individual provider Active NPI

Jivtesh Singh, D.D.S

  • General Practice Dentistry
  • Deer Park, NY
National Provider Identifier
1679899348
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054842-1 Issued in NY
Practice address
1644 Deer Park Ave
Deer Park, NY 11729-5211
Phone
(631) 586-7100
NPI assigned
Apr 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 054842-1 NY Primary

Addresses

Primary practice location

1644 Deer Park Ave
Deer Park, NY 11729-5211

Mailing address

38 Rim LN
Hicksville, NY 11801-6117
Phone (917) 913-0606

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730001498 NY Practitioner - Oral Surgery 7315292646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054842-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
A&B Dental PC CurrentSince Mar 28, 2020 Accepting new patients

Locations

499 William Floyd Pkwy
Shirley, NY 11967
Phone (631) 281-1440

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1679899348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 RIM LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016117",
            "telephone_number": "917-913-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295211",
            "telephone_number": "631-586-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "JIVTESH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054842-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

Verify at the official NPI Registry.