SILVER LAKE MEDICAL PC NPI 1275728842

NPI Information

  • NPI: 1275728842
  • Provider Name: SILVER LAKE MEDICAL, PC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Address: 50 NEWARK AVE
    SUITE 205 - 207
    BELLEVILLE, NJ
    ZIP 07109
  • Phone: (973) 751-2060

Map and Directions

Get Directions

NPI Details

SILVER LAKE MEDICAL, PC is an adult medicine family medicine in Belleville, NJ. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. SILVER LAKE MEDICAL, PC NPI is 1275728842. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

50 NEWARK AVE
SUITE 205 - 207
BELLEVILLE, NJ
ZIP 07109-185
Phone: (973) 751-2060

The provider's authorized official is Antonio Ciccone .
The authorized official title is President and has the following contact phone number (973) 751-2060.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 3/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineMB057523NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1012108MEDICARE OSCAR/CERTIFICATIONNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI