Provider Demographics
NPI:1639139629
Name:SUNIL K. SINGH, MD, PA
Entity Type:Organization
Organization Name:SUNIL K. SINGH, MD, PA
Other - Org Name:NEUROLOGY, HEADACHE & PAIN RELIEF CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-653-3055
Mailing Address - Street 1:1801 NEW RD
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1036
Mailing Address - Country:US
Mailing Address - Phone:609-653-3055
Mailing Address - Fax:609-653-8469
Practice Address - Street 1:1801 NEW RD
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1036
Practice Address - Country:US
Practice Address - Phone:609-653-3055
Practice Address - Fax:609-653-8469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA049946002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE45136Medicare UPIN
NJ627692L02Medicare ID - Type Unspecified