Provider Demographics
NPI:1871558791
Name:SINGH, MALWINDER (MD)
Entity type:Individual
Prefix:
First Name:MALWINDER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 JAY CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2235
Mailing Address - Country:US
Mailing Address - Phone:201-687-8600
Mailing Address - Fax:201-465-0341
Practice Address - Street 1:333 OLD HOOK RD STE 105
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-3200
Practice Address - Country:US
Practice Address - Phone:201-687-8600
Practice Address - Fax:201-465-0341
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA70994207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01000362400OtherAMERICHOICE
100302OtherAMERIGROUP
NJ8720304Medicaid
2676718OtherAETNA
P2567119OtherOXFORD
2K3125OtherHEALTH NET
NJ1154373OtherHORIZON NJ HEALTH
2K3125OtherHEALTH NET
P2567119OtherOXFORD
NJ053105WPTMedicare PIN