Active NPI
Kenneth Silvestri, ED.D.
- Marriage & Family Therapist
- Montclair, NJ
National Provider Identifier
1003022658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1181
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1181 | NJ | MD | Marriage & 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.