Individual ProviderManinderjit SinghNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2015 Grand Concourse, Bronx, NY 10453-4303(718) 918-0401(718) 618-0401PECOS EnrollmentBased on the most recent information from CMS, provider Maninderjit Singh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1033882162Provider TypeIndividualFull NameSingh, ManinderjitCredentialNURSE PRACTITIONERGenderMaleSole ProprietorYesEnumeration Date7/26/2021Last Updated8/17/2021Contact InformationPractice LocationPractice Address2015 Grand Concourse, Bronx, NY 10453-4303Phone(718) 918-0401FaxUnlisted FaxMailing LocationMailing Address1434 Williamsbridge Rd Fl 2, Bronx, NY 10461-2507Phone(718) 618-0401FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF345437New YorkCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseF345437-01New York