1952309858 NPI number — DR. NIRA R SILVERMAN MD

Table of content: DR. NIRA R SILVERMAN MD (NPI 1952309858)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952309858 NPI number — DR. NIRA R SILVERMAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILVERMAN
Provider First Name:
NIRA
Provider Middle Name:
R
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1952309858
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22 WESTFIELD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANSONIA
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06401-1158
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-735-6144
Provider Business Mailing Address Fax Number:
203-735-0633

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22 WESTFIELD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANSONIA
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06401-1158
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-735-6144
Provider Business Practice Location Address Fax Number:
203-735-0633
Provider Enumeration Date:
07/13/2005

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: 207N00000X , with the licence number:  015389 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 015389 . This is a "CONNECTICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0304345 . This is a "UNITED" identifier . This identifiers is of the category "OTHER".
  • Identifier: NER0100976 . This is a "HEALTHSOURCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0567719 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 567719 . This is a "US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: Q000398 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0532903001 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: NHS091 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010015389CT01 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".




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