Provider Demographics
NPI:1629080841
Name:AJIT, SARBJOT SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:SARBJOT
Middle Name:SINGH
Last Name:AJIT
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 1:1400 PELHAM PARKWAY SOUTH
Mailing Address - Street 2:JACOBI MEDICAL CENTER
Mailing Address - City:BRONT
Mailing Address - State:NY
Mailing Address - Zip Code:10461-0000
Mailing Address - Country:US
Mailing Address - Phone:718-918-5700
Mailing Address - Fax:
Practice Address - Street 1:1400 PELHAM PARKWAY SOUTH
Practice Address - Street 2:JACOBI MEDICAL CENTER
Practice Address - City:BRONT
Practice Address - State:NY
Practice Address - Zip Code:10461-0000
Practice Address - Country:US
Practice Address - Phone:718-918-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350878962084P0800X, 2084P0802X, 2084P0804X, 2084P0805X
NY2633452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2677830Medicaid
OH2677830Medicaid