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SILVER LAKE MEDICAL, PC
NPI 1275728842
Family Medicine - Adult Medicine in Belleville, NJ

Active since September 07, 2007
50 NEWARK AVE, SUITE 205 - 207, BELLEVILLE, NJ 07109(973) 751-2060 Get Directions Write a Review

NPPES record last updated: March 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Silver Lake Medical, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SILVER LAKE MEDICAL, PC (NPI 1275728842) is a healthcare organization registered as an adult medicine in Belleville, New Jersey and active in the NPI registry since September 2007. The organization lists Antonio Ciccone, President, as its authorized official.

NPPES Registry Identity

NPI1275728842
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameSILVER LAKE MEDICAL, PC
Location Address50 NEWARK AVE, SUITE 205 - 207Belleville, NJ 07109-1185
Mailing Address50 Newark Ave, Suite 205 - 207Belleville, NJ 07109-1185 · (973) 751-2060 · Fax (973) 751-3334
Phone(973) 751-2060
Organization SubpartNo
Authorized OfficialAntonio CicconePresident · (973) 751-2060
Enumeration DateSeptember 7, 2007
Last NPPES UpdateMarch 12, 2010
✔ NPI 1275728842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NJ · MB057523
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
50 NEWARK AVE, Belleville, NJ 07109
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Other Identifiers 1

Medicare OSCAR/certification012108NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS LUCKNIE OVINCY PA-C
Physician Assistant (Medical)
50 NEWARK AVE
BELLEVILLE, NJ 07109
Essex County (973) 751-2060
STANLEY KLUGHAUPT MD PA
Internal Medicine
50 NEWARK AVE, SUITE 306
BELLEVILLE, NJ 07109
Essex County (973) 450-0220
DR. MARIO A CRISCITO M.D.
Internal Medicine (Cardiovascular Disease)
50 NEWARK AVE, SUITE 204
BELLEVILLE, NJ 07109
Essex County (973) 450-2158
NADINE C PAPPAS M.D.
Surgery
50 NEWARK AVE, SUITE 308
BELLEVILLE, NJ 07109
Essex County (973) 844-1000
DR. JAMES ANTHONY PARISI M.D., F.A.C.S
Specialist
50 NEWARK AVE, SUITE 107
BELLEVILLE, NJ 07109
Essex County (973) 751-3284
DR. STEVEN MARK LOMAZOW M.D.
Psychiatry & Neurology (Neurology)
50 NEWARK AVE, SUITE 104
BELLEVILLE, NJ 07109
Essex County (973) 751-5643
STEVEN M. LOMAZOW M.D. PC
Psychiatry & Neurology (Neurology)
50 NEWARK AVE, SUITE 104
BELLEVILLE, NJ 07109
Essex County (973) 751-5643
DALE LOUISE STEINBERG DO
Pediatrics
50 NEWARK AVE, SUITE 102
BELLEVILLE, NJ 07109
Essex County (973) 450-8700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Silver Lake Medical, PC's NPI number?

The NPI number for Silver Lake Medical, PC is 1275728842. It was assigned to this organization in the NPPES registry on September 7, 2007.

Where is Silver Lake Medical, PC located?

Silver Lake Medical, PC is located at 50 Newark Ave Suite 205 - 207, Belleville, NJ 07109. The listed phone number is (973) 751-2060.

What is Silver Lake Medical, PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Silver Lake Medical, PC was last updated on March 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.