Individual provider Active NPI

Sandeep Singla, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Wayne, NJ
National Provider Identifier
1891847653
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI02336300 Issued in NJ
Practice address
2055 Hamburg Tpke
Wayne, NJ 07470-6297
Phone
(973) 595-5455
Fax
(973) 595-5959
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22DI02336300NJMDOral and Maxillofacial Surgery (Dentist)
047986-1NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Ny Oral Surgery PLLC Oral and Maxillofacial Surgery CurrentSince Apr 25, 2021 Accepting new patients
Orchard Park Dentalcare PLLC Past Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients
Exclusive Oral Surgery Past Accepting new patients
Exclusive Oral Surgery PastSince Sep 20, 2020 Accepting new patients

Locations

183 Genesee St
#2
Auburn, NY 13021
Phone (315) 253-7384

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 047986-1 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02336300 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

2055 Hamburg Tpke
Wayne, NJ 07470-6297

Mailing address

7 Farmstead Rd
Short Hills, NJ 07078-1291
Phone (518) 209-0524

Other practice location 1

63 Valley St
South Orange, NJ 07079-2861
Phone (973) 762-5773

Other practice location 2

728 E Ridge Rd
Rochester, NY 14621-1719
Phone (585) 491-7800

Other practice location 3

183 Genesee St Ste 2
Auburn, NY 13021-3370
Phone (315) 253-7384

Other practice location 4

3302 Sheridan Dr
Buffalo, NY 14226-1439
Phone (716) 222-2228

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2020.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1891847653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FARMSTEAD RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781291",
            "telephone_number": "518-209-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706297",
            "telephone_number": "973-595-5455",
            "fax_number": "973-595-5959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Valley St",
            "address_purpose": "LOCATION",
            "city": "South Orange",
            "state": "NJ",
            "postal_code": "070792861",
            "country_code": "US",
            "telephone_number": "973-762-5773",
            "fax_number": "973-762-5003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "728 E Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146211719",
            "country_code": "US",
            "telephone_number": "585-491-7800",
            "fax_number": "585-491-7796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "183 Genesee St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130213370",
            "country_code": "US",
            "telephone_number": "315-253-7384",
            "fax_number": "315-253-7426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3302 Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142261439",
            "country_code": "US",
            "telephone_number": "716-222-2228",
            "fax_number": "716-381-9091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGLA",
        "first_name": "SANDEEP",
        "name_prefix": "Dr.",
        "credential": "DDS,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "047986-1",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02336300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.