Individual provider Active NPI

Russell Howard Silver, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1053377796
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
1696941 Issued in NY
Practice address
159 East 74TH Street
New York, NY 10021
Phone
(212) 439-9302
Fax
(212) 988-4244
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1696941 NY Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 1696941 NY

Addresses

Primary practice location

159 East 74TH Street
New York, NY 10021

Mailing address

159 E 74TH Street
New York, NY 10021-3235
Phone (212) 439-9302

Other identifiers 1

IdentifierTypeStateIssuer
607393300MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110301000179 NY Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 1355522004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1696941NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goldberg & Pellegrini, MD, P.C. CurrentSince Jul 21, 2022 Accepting new patients
Health Care Physical Therapy PC Past Accepting new patients
Physical Therapy Home & Office Services PC Past Accepting new patients
Richard Goldberg and John Pellegrini P.C. Past Accepting new patients

Locations

380 88th St
Ste 1
Brooklyn, NY 11209

2051 Flatbush Ave
Brooklyn, NY 11234
Phone (718) 677-1000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1053377796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 E 74TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213235",
            "telephone_number": "212-439-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 EAST 74TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-439-9302",
            "fax_number": "212-988-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "RUSSELL",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "1696941",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "1696941",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "607393300",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.