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: July 19, 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
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

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.

Surgery
50 NEWARK AVE, SUITE 308
BELLEVILLE, NJ 07109
Psychiatry & Neurology (Neurology)
50 NEWARK AVE, SUITE 104
BELLEVILLE, NJ 07109
Clinic/Center (Ambulatory Surgical)
50 NEWARK AVE
BELLEVILLE, NJ 07109
Social Worker (Clinical)
50 NEWARK AVE, #306
BELLEVILLE, NJ 07109
Specialist
50 NEWARK AVE, SUITE 107
BELLEVILLE, NJ 07109
Internal Medicine
50 NEWARK AVE, SUITE 306
BELLEVILLE, NJ 07109
Internal Medicine
50 NEWARK AVE, SUITE 307
BELLEVILLE, NJ 07109
Psychiatry & Neurology (Neurology)
50 NEWARK AVE, SUITE 104
BELLEVILLE, NJ 07109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275728842, enumerated as an "organization" on September 07, 2007.

The provider is located at 50 NEWARK AVE SUITE 205 - 207 BELLEVILLE, NJ 07109 and the phone number is (973) 751-2060.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.