Provider Demographics
NPI:1053511691
Name:SINGH, LOVEENA (MD)
Entity Type:Individual
Prefix:DR
First Name:LOVEENA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11220 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-1814
Mailing Address - Country:US
Mailing Address - Phone:718-554-6600
Mailing Address - Fax:718-554-0016
Practice Address - Street 1:11220 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-1814
Practice Address - Country:US
Practice Address - Phone:718-554-6600
Practice Address - Fax:718-554-0016
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258923207QG0300X, 207Q00000X
ME018618207Q00000X
NJ25MA09000900207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1053511691Medicaid
ME432682999Medicaid
ME1053511691Medicaid