Provider Demographics
NPI:1891815122
Name:RS NEURO MEDICAL, P.C.
Entity Type:Organization
Organization Name:RS NEURO MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED NEUROLOGY
Authorized Official - Prefix:
Authorized Official - First Name:JASJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:631-841-6190
Mailing Address - Street 1:18 CORONA DR
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-4505
Mailing Address - Country:US
Mailing Address - Phone:631-841-6190
Mailing Address - Fax:631-789-0600
Practice Address - Street 1:366 BROADWAY
Practice Address - Street 2:BUILDING #5
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2711
Practice Address - Country:US
Practice Address - Phone:631-841-6190
Practice Address - Fax:631-789-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199219174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01741079Medicaid
NY01741079Medicaid
NY985353Medicare ID - Type Unspecified