Healthcare Provider Details

I. General information

NPI: 1326784901
Provider Name (Legal Business Name): NELLY SINGH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2022
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1614 UNION VALLEY RD STE O
WEST MILFORD NJ
07480-2222
US

IV. Provider business mailing address

79 GOULD RD
NEWFOUNDLAND NJ
07435-1707
US

V. Phone/Fax

Practice location:
  • Phone: 855-376-3559
  • Fax: 973-604-4238
Mailing address:
  • Phone: 855-376-3559
  • Fax: 973-604-4238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MB12678000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: