MEDICARE: NAKUL SINGHAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		NY
2	207RH0003X	Hematology & Oncology Physician	25MA09733400	NJ
3	207RH0003X	Hematology & Oncology Physician	276184	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366733156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAKUL SINGHAL

Provider Business Mailing Address
First Line	:	1500 ROUTE 112 STE 101
Second Line	:
City	:	PORT JEFFERSON STATION
State	:	NY
Zip	:	11776-8054
Country	:	US
Telephone Number	:	631-751-3000
Fax Number	:	317-510-5066

Provider Business Practice Location Address
First Line	:	10837 71ST AVE STE 2
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4510
Country	:	US
Telephone Number	:	631-751-3000
Fax Number	:	631-751-0506

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2011
Last Update Date	:	01/12/2022

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Directions to “ NAKUL SINGHAL ” Practice Location

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