Basic Information
Provider Information
NPI: 1396716825
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGER
FirstName: ROBERT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7000 ATRIUM WAY
Address2: SUITE 6
City: MOUNT LAUREL
State: NJ
PostalCode: 080543917
CountryCode: US
TelephoneNumber: 8562916818
FaxNumber: 8562916819
Practice Location
Address1: 2309 E EVESHAM RD
Address2: SUITES 201 & 202
City: VOORHEES
State: NJ
PostalCode: 080431559
CountryCode: US
TelephoneNumber: 8563255400
FaxNumber: 8563255416
Other Information
ProviderEnumerationDate: 02/01/2006
LastUpdateDate: 10/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X25MA05675300NJY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

ID Information
IDTypeStateIssuerDescription
556310105NJ MEDICAID


Home