Active NPI
Russell Howard Silver, MD
- Physical Medicine & Rehabilitation Physician
- New York, NY
National Provider Identifier
1053377796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1696941
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 607393300 | Medicaid | NM |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1696941 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldberg & Pellegrini, MD, P.C. | Current | 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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1063636504
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1932432606
-
- Physical Therapist
- Elmhurst, NY
- NPI 1942310123
-
- General Practice Physician
- Brooklyn, NY
- NPI 1700920998
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.