Healthcare Provider Details

I. General information

NPI: 1871173179
Provider Name (Legal Business Name): LATISHA SINGLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2021
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 CENTRAL AVE STE 309
EAST ORANGE NJ
07018-3318
US

IV. Provider business mailing address

341 OGDEN ST
ORANGE NJ
07050-3226
US

V. Phone/Fax

Practice location:
  • Phone: 973-234-7301
  • Fax:
Mailing address:
  • Phone: 973-234-7301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: