Provider Demographics
NPI:1235448895
Name:FREEHOLD DIAGNOSTIC & TREATMENT CENTER INC.
Entity Type:Organization
Organization Name:FREEHOLD DIAGNOSTIC & TREATMENT CENTER INC.
Other - Org Name:RAJKUMAR R. SINGH MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJKUMAR
Authorized Official - Middle Name:R
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-845-8220
Mailing Address - Street 1:18 THROCKMORTON ST
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2102
Mailing Address - Country:US
Mailing Address - Phone:732-845-8220
Mailing Address - Fax:732-845-8221
Practice Address - Street 1:18 THROCKMORTON STREET
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728
Practice Address - Country:US
Practice Address - Phone:732-845-8220
Practice Address - Fax:732-845-8221
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FREEHOLD DIAGNOSTIC & TREATMENT CENTER INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA558452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5241707Medicaid
NJF21898Medicare UPIN
NJ5241707Medicaid