Individual provider Active NPI

Farrel Keith Silverman, D.O.

  • Family Medicine Physician
  • Linwood, NJ
National Provider Identifier
1063708436
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09425700 Issued in NJ
Practice address
1201 New Rd Ste 150a
Linwood, NJ 08221-1100
Phone
(609) 788-3338
Fax
(609) 788-3348
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 25MB09425700 NJ Primary

Addresses

Primary practice location

1201 New Rd Ste 150a
Linwood, NJ 08221-1100

Mailing address

1 Medical Center Dr
Umdnj-Som
Stratford, NJ 08084-1500

Other practice location 1

1 Medical Center Dr
Umdnj-Som
Stratford, NJ 08084-1500
Phone (856) 566-6708

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fsilverman13148@directvirtua.org

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140820000852 NJ Practitioner - Family Practice 8820216658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1201 New Rd
Linwood, NJ 08221-1100

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

  • Patient Care Home health agency, Egg Harbor Township, NJ, CCN 317072
  • Bayada Home Health Care, Inc. Home health agency, Egg Harbor Township, NJ, CCN 317066
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09425700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 9, 2014 Accepting new patients
Virtua Medical Group, PA Family Medicine CurrentSince Jul 9, 2014 Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Shore Memorial Hospital Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1201 New Rd
Ste 150A
Linwood, NJ 08221
Phone (609) 788-3338

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

303 Lippincott Dr
Marlton, NJ 08053

Interoperability endpoints

  • Direct secure messaging: fsilverman13148@directvirtua.org

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1063708436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "UMDNJ-SOM",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NEW RD STE 150A",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211100",
            "telephone_number": "609-788-3338",
            "fax_number": "609-788-3348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "UMDNJ-SOM",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841500",
            "country_code": "US",
            "telephone_number": "856-566-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "FARREL",
        "middle_name": "KEITH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09425700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fsilverman13148@directvirtua.org",
            "affiliation": "N",
            "address_1": "1201 New Rd Ste 150A",
            "city": "Linwood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082211100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.