Kuldeep Singh, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F-344455 Issued in NY

Practice address

Stony Brook Family and Preventive Medicine, Ufpc
4 Smith Haven Mall, Suite 202
Lake Grove, NY 11755

Phone

(631) 444-5858

NPI assigned

Jul 6, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1790347144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK FAMILY AND PREVENTIVE MEDICINE, UFPC",
            "address_2": "4 SMITH HAVEN MALL, SUITE 202",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551143",
            "telephone_number": "631-444-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK FAMILY AND PREVENTIVE MEDICINE, UFPC",
            "address_2": "4 SMITH HAVEN MALL, SUITE 202",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "11755",
            "telephone_number": "631-444-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Merrimac St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142141143",
            "country_code": "US",
            "telephone_number": "716-364-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "KULDEEP",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-06",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F344455-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F-344455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksingh11@lakeheadu.ca",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Merrimac St",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142141143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Siobhan Ann Sheedy
• Erin Bridget Shine Butler, M.S. ED.
• Michele Short
• Sharell Sills, LPN
• Linda Simpson
• Ghazal Sinha, M.D
• Hannah Skylar Sledge, PA
• Mitchell Slochower, L.C.S.W.
• Smith Haven Dental PLLC
• Smith Haven Dentistry, PLLC

• Family Nurse Practitioner in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.