Provider Demographics
NPI:1164513354
Name:SINGMAN, BRAD ADAM (MD)
Entity Type:Individual
Prefix:
First Name:BRAD
Middle Name:ADAM
Last Name:SINGMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20-00 FAIR LAWN AVE
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2319
Mailing Address - Country:US
Mailing Address - Phone:201-794-6000
Mailing Address - Fax:201-794-7223
Practice Address - Street 1:20-00 FAIR LAWN AVE
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2319
Practice Address - Country:US
Practice Address - Phone:201-794-6000
Practice Address - Fax:201-794-7223
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA58290207N00000X
NY171501207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0141830Medicaid
NJ6060102Medicaid
NJ6060102Medicaid
E45046Medicare UPIN
NY0141830Medicaid