Organization Active NPI

Ghansham Singh,Physician,PC

  • Internal Medicine Physician
  • South Ozone Park, NY
National Provider Identifier
1922012855
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214531 Issued in NY
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ghansham Singh, MDNPI 1740200823
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02020991MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.