Active NPI
Ghansham Singh,Physician,PC
- Internal Medicine Physician
- South Ozone Park, NY
National Provider Identifier
1922012855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 214531
- Legal business name
- GHANSHAM SINGH,PHYSICIAN,PC
- Practice address
- 13124 Rockaway Blvd
South Ozone Park, NY 11420-2932 - Phone
- (718) 659-7166
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ghansham Singh, MD
- Title
- President
- Phone
- (516) 603-7166
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 214531 | NY | Primary |
Addresses
Primary practice location
13124 Rockaway Blvd
South Ozone Park, NY 11420-2932
Mailing address
61 Riverdale Rd
Valley Stream, NY 11581-2413
Phone (516) 603-7166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02020991 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- South Ozone Park, NY
- NPI 1740200823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922012855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 RIVERDALE RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115812413",
"telephone_number": "516-603-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13124 ROCKAWAY BLVD",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114202932",
"telephone_number": "718-659-7166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GHANSHAM SINGH,PHYSICIAN,PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "GHANSHAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-603-7166",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "214531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02020991",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.