Individual provider Active NPI

Mark Gary Singer, M. D.

  • General Practice Physician
  • Pontiac, MI
National Provider Identifier
1831308782
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301069704 Issued in MI
Practice address
777 Joslyn Ave
MC 483-720-420
Pontiac, MI 48340-2925
Phone
(248) 857-0599
Fax
(248) 857-8946
NPI assigned
May 21, 2007
Last updated
Mar 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 4301069704 MI
General Practice Physician 208D00000X 4301069704 MI Primary

Addresses

Primary practice location

777 Joslyn Ave
MC 483-720-420
Pontiac, MI 48340-2925

Mailing address

777 Joslyn Ave
MC 483-720-420
Pontiac, MI 48340-2925
Phone (248) 857-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301069704MIMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1831308782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 JOSLYN AVE",
            "address_2": "MC 483-720-420",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402925",
            "telephone_number": "248-857-0599",
            "fax_number": "248-857-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 JOSLYN AVE",
            "address_2": "MC 483-720-420",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402925",
            "telephone_number": "248-857-0599",
            "fax_number": "248-857-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGER",
        "first_name": "MARK",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "4301069704",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301069704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.