Healthcare Provider Details

I. General information

NPI: 1316815475
Provider Name (Legal Business Name): GURPREMJIT SINGH MD, M.CH, FEBU INT.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 MADISON AVE FL 6
NEW YORK NY
10029-6514
US

IV. Provider business mailing address

150 E 42ND ST FL 5
NEW YORK NY
10017-5612
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-9955
  • Fax: 212-987-4675
Mailing address:
  • Phone: 646-605-8119
  • Fax: 646-605-3031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number341124
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: