1952397325 NPI number — DR. ANDREW B. SILVERMAN DPM

Table of content: DR. ANDREW B. SILVERMAN DPM (NPI 1952397325)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952397325 NPI number — DR. ANDREW B. SILVERMAN DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILVERMAN
Provider First Name:
ANDREW
Provider Middle Name:
B.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
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:
1952397325
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/08/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
333 SCHOOL ST
Provider Second Line Business Mailing Address:
SUITE 209
Provider Business Mailing Address City Name:
PAWTUCKET
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02860-5334
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-335-3731
Provider Business Mailing Address Fax Number:
401-335-3735

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
333 SCHOOL ST
Provider Second Line Business Practice Location Address:
SUITE 209
Provider Business Practice Location Address City Name:
PAWTUCKET
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02860-5334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-335-3731
Provider Business Practice Location Address Fax Number:
401-335-3735
Provider Enumeration Date:
09/21/2005

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: 213E00000X , with the licence number:  DPM 264 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 480033070 . This is a "RR MEDICARE PROV. NO." identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 000264 . This is a "TUFTS PROVIDER NO." identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 1097 . This is a "NEIGHBORHOOD HEALTH PROVI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0026278001 . This is a "CIGNA PROVIDER NUMBER" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 9007056 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0522002 . This is a "AETNA PROVIDER NO." identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".
  • Identifier: 29705-1 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 202646 . This is a "BLUE CHIP PROVIDER NUMBER" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 2700390 . This is a "UNITED HEALTH CARE PROVID" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




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