Healthcare Provider Details
I. General information
NPI: 1033854997
Provider Name (Legal Business Name): RUBEN SINGH MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/04/2022
Last Update Date: 12/22/2022
Certification Date: 12/22/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
518 N RIVERSIDE DR
NEPTUNE NJ
07753-5322
US
IV. Provider business mailing address
518 N RIVERSIDE DR
NEPTUNE NJ
07753-5322
US
V. Phone/Fax
- Phone: 732-567-1330
- Fax: 732-776-7526
- Phone: 732-567-1330
- Fax: 732-776-7526
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RUBEN
R
SINGH
Title or Position: EMPLOYEE
Credential: MD
Phone: 732-567-1330