SILVER LAKE MEDICAL PC – NPI #1538366679
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SILVER LAKE MEDICAL PC is a provider located in BELLEVILLE, NJ. NPPES has assigned the NPI number 1538366679 to SILVER LAKE MEDICAL PC on July 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Jun 16, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SILVER LAKE MEDICAL PC below.

NPI Profile for
SILVER LAKE MEDICAL PC

NPI Number
1538366679
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SILVER LAKE MEDICAL PC
Primary location
36 NEWARK AVENUE
SUITE 324
BELLEVILLE, NJ 07109
Phone: (973) 751-2060 Fax: (973) 751-3334
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANTONIO CICCONE
PRESIDENT
Phone: (973) 751-2060
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NJ MB57523

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.