1477970945 NPI number — ADINA FRADKIN SILVERMAN MS, RD, LDN

Table of content: ADINA FRADKIN SILVERMAN MS, RD, LDN (NPI 1477970945)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477970945 NPI number — ADINA FRADKIN SILVERMAN MS, RD, LDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILVERMAN
Provider First Name:
ADINA
Provider Middle Name:
FRADKIN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, RD, LDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FRADKIN
Provider Other First Name:
ADINA
Provider Other Middle Name:
JO
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RD, LDN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1477970945
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/08/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 RESERVOIR CIR STE 105
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PIKESVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21208-6362
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-633-4850
Provider Business Mailing Address Fax Number:
443-241-0215

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1831 FOREST DR
Provider Second Line Business Practice Location Address:
SUITE H1
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21401-4430
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-633-4850
Provider Business Practice Location Address Fax Number:
443-241-0215
Provider Enumeration Date:
03/24/2014

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: 133V00000X , with the licence number:  DX3309 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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