Healthcare Provider Details

I. General information

NPI: 1699226647
Provider Name (Legal Business Name): HILLSIDE PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2016
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16403 HILLSIDE AVE
JAMAICA NY
11432-4140
US

IV. Provider business mailing address

16403 HILLSIDE AVE # 1
JAMAICA NY
11432-4140
US

V. Phone/Fax

Practice location:
  • Phone: 718-554-8072
  • Fax: 718-554-8539
Mailing address:
  • Phone: 718-554-8072
  • Fax: 718-554-8539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. LOVEENA SINGH
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 917-345-0151