Provider Demographics
NPI:1770677726
Name:SINGH, MOHINDER P (MD)
Entity Type:Individual
Prefix:
First Name:MOHINDER
Middle Name:P
Last Name:SINGH
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 1:33 CARRIAGE WAY
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2541
Mailing Address - Country:US
Mailing Address - Phone:908-405-2558
Mailing Address - Fax:732-494-8101
Practice Address - Street 1:162 MAIN ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2776
Practice Address - Country:US
Practice Address - Phone:732-494-8100
Practice Address - Fax:732-494-8101
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03776500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ567748C2FOtherMEDICARE BILLING NO.
NJ567748Medicare PIN
NJ567748C2FOtherMEDICARE BILLING NO.