Provider Demographics
NPI:1811976467
Name:SINGER, DIANA BARBARA (PT)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:BARBARA
Last Name:SINGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 S SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2624
Mailing Address - Country:US
Mailing Address - Phone:201-712-9113
Mailing Address - Fax:201-712-9118
Practice Address - Street 1:21 S SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2624
Practice Address - Country:US
Practice Address - Phone:201-712-9113
Practice Address - Fax:201-712-9118
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA009136002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ103755Medicare PIN