Individual provider Active NPI

Kenneth Silvestri, ED.D.

  • Marriage & Family Therapist
  • Montclair, NJ
National Provider Identifier
1003022658
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1181 Issued in NJ
Practice address
460 Bloomfield Ave
Suite 209
Montclair, NJ 07042-3582
Phone
(973) 214-0540
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1181 NJ Primary

Addresses

Primary practice location

460 Bloomfield Ave
Suite 209
Montclair, NJ 07042-3582

Mailing address

460 Bloomfield Ave
Suite 209
Montclair, NJ 07042-3582
Phone (973) 214-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105000196 NJ Practitioner - Marriage and Family Therapist 0143716753 Practice locations: Montclair, NJ

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39 Village Gate Way
Nyack, NY 10960-1440

460 Bloomfield Ave
Suite 209
Montclair, NJ 07042-3504

460 Bloomfield Ave
Suite 209
Montclair, NJ 07042-3552
Phone (973) 214-0540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1181NJMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1003022658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BLOOMFIELD AVE",
            "address_2": "SUITE 209",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423582",
            "telephone_number": "973-214-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BLOOMFIELD AVE",
            "address_2": "SUITE 209",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423582",
            "telephone_number": "973-214-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVESTRI",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "1181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.