1487303863 NPI number — CHRISTYNE M SILIVERDIS MS, NCC

Table of content: CHRISTYNE M SILIVERDIS MS, NCC (NPI 1487303863)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487303863 NPI number — CHRISTYNE M SILIVERDIS MS, NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILIVERDIS
Provider First Name:
CHRISTYNE
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FORD
Provider Other First Name:
CHRISTYNE
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1487303863
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/10/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
503 WASHINGTON AVE STE 2B-4
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18940-2153
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-915-3318
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
503 E WASHINGTON AVE
Provider Second Line Business Practice Location Address:
SUITE 2B-4
Provider Business Practice Location Address City Name:
NEWTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18940
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-832-9166
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/22/2022

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: 102L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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