1457391914 NPI number — PHILIP J SILVERMAN MD

Table of content: PHILIP J SILVERMAN MD (NPI 1457391914)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457391914 NPI number — PHILIP J SILVERMAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILVERMAN
Provider First Name:
PHILIP
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457391914
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/03/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2800 MARCUS AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW HYDE PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11042-1113
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-622-6000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
970 N BROADWAY
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10701-1309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-969-1600
Provider Business Practice Location Address Fax Number:
914-969-1685
Provider Enumeration Date:
06/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0001X , with the licence number:  149629 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000308200202 . This is a "HEALTH PLUS (BRONX)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01287750 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: SP9629 . This is a "ATLANTIS HEALTH PROV. #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2524E2 (BLO) . This is a "EMPIRE BCBS SENIOR PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1283053 . This is a "AETNA HMO #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 397497 . This is a "TACONIC IPA PROVIDER #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4584673 . This is a "AETNA OTHER #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000308200201 . This is a "HEALTH PLUS (YNKERS)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2524E1 (RHO) . This is a "EMPIRE BCBS SENIOR PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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