Healthcare Provider Details

I. General information

NPI: 1720548985
Provider Name (Legal Business Name): RANBIR SINGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2019
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E BAY AVE
MANAHAWKIN NJ
08050-3109
US

IV. Provider business mailing address

120 WHITE HORSE PIKE STE 112
HADDON HEIGHTS NJ
08035-1938
US

V. Phone/Fax

Practice location:
  • Phone: 609-971-3300
  • Fax: 609-597-4656
Mailing address:
  • Phone: 856-547-0539
  • Fax: 856-547-3178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA12855700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: