Healthcare Provider Details

I. General information

NPI: 1104454644
Provider Name (Legal Business Name): JOEL NOEL RAJENDRA SINGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 CROSS ST
NORWALK CT
06851-4647
US

IV. Provider business mailing address

40 CROSS ST
NORWALK CT
06851-4647
US

V. Phone/Fax

Practice location:
  • Phone: 607-621-7293
  • Fax:
Mailing address:
  • Phone: 607-621-7293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number323378
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number85347
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: