Organization Active NPI

Rajendra Singh MD PC

  • Allergy Physician
  • Pottsville, PA
National Provider Identifier
1891874202
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
RAJENDRA SINGH MD PC
Practice address
1630 Mount Hope Ave
Pottsville, PA 17901-1337
Phone
(570) 622-6680
Fax
(570) 622-1439
NPI assigned
Nov 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Rajendra Singh, MDNPI 1598760571
Title
President
Phone
(570) 622-6680

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X Primary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X

Addresses

Primary practice location

1630 Mount Hope Ave
Pottsville, PA 17901-1337

Mailing address

1630 Mount Hope Ave
Pottsville, PA 17901-1337
Phone (570) 622-6680

Other identifiers 1

IdentifierTypeStateIssuer
123268OtherPAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080421000038 PA Part B Supplier - Clinic/Group Practice 9335227156 Receives reassigned benefits from 1 practitioner
Practice locations: Pottsville, PA; Tamaqua, PA; Hazelton, PA

National Provider Directory

National Provider Directory

Locations

1630 Mount Hope Ave
Pottsville, PA 17901
Phone (570) 622-1553

1630 Mount Hope Ave
Ste 2
Pottsville, PA 17901

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1891874202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MOUNT HOPE AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011337",
            "telephone_number": "570-622-6680",
            "fax_number": "570-622-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MOUNT HOPE AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011337",
            "telephone_number": "570-622-6680",
            "fax_number": "570-622-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJENDRA SINGH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-622-6680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "123268",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.