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SILVER LAKE MEDICAL PLLC
NPI 1760672620
Internal Medicine in Staten Island, NY

Active since July 26, 2007
59 REVERE ST, SUITE A, STATEN ISLAND, NY 10301(718) 556-3900(718) 273-3592 Get Directions Write a Review

NPPES record last updated: July 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Silver Lake Medical Pllc NPPES

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

SILVER LAKE MEDICAL PLLC (NPI 1760672620) is a healthcare organization registered as an internal medicine in Staten Island, New York and active in the NPI registry since July 2007. The organization lists Kenneth Pickover, Member, as its authorized official.

NPPES Registry Identity

NPI1760672620
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSILVER LAKE MEDICAL PLLC
Location Address59 REVERE ST, SUITE AStaten Island, NY 10301-3415
Mailing Address59 Revere St, Suite AStaten Island, NY 10301-3415 · (718) 556-3900 · Fax (718) 273-3592
Phone(718) 556-3900
Fax(718) 273-3592
Organization SubpartNo
Authorized OfficialKenneth PickoverMember · (718) 556-3900
Enumeration DateJuly 26, 2007
Last NPPES UpdateJuly 27, 2007
✔ NPI 1760672620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 164175
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
59 REVERE ST, Staten Island, NY 10301
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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 2

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

MRS. CLAIRE BORNSTEIN P.A.-C.
Physician Assistant (Medical)
59 REVERE ST
STATEN ISLAND, NY 10301
Richmond County (718) 273-3592
DR. KENNETH HOWARD PICKOVER M.D.
Internal Medicine
59 REVERE ST, SUITE A
STATEN ISLAND, NY 10301
Richmond County (718) 556-3900

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 PLLC's NPI number?

The NPI number for Silver Lake Medical PLLC is 1760672620. It was assigned to this organization in the NPPES registry on July 26, 2007.

Where is Silver Lake Medical PLLC located?

Silver Lake Medical PLLC is located at 59 Revere St Suite A, Staten Island, NY 10301. The listed phone number is (718) 556-3900.

What is Silver Lake Medical PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Silver Lake Medical PLLC was last updated on July 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.