Active NPI
Robert Christopher Silich, MD
- Plastic Surgery Physician
- New York, NY
National Provider Identifier
1104853910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 196695
- Practice address
- 1009 5TH Ave
L-L
New York, NY 10028-0158 - Phone
- (212) 472-0082
- Fax
- (212) 249-2370
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 196695 | NY | Primary |
Addresses
Primary practice location
1009 5TH Ave
L-L
New York, NY 10028-0158
Mailing address
1009 5TH Ave
L-L
New York, NY 10028-0158
Phone (212) 472-0082
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196695 | Other | NY | NYS LICENSE |
| 02828040 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 18, 2017 through Sep 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196695 | NY | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of University Hospital, PC | Past | Accepting new patients | |
| Office Based Surgical Care, P.C. | Past | Accepting new patients |
Interoperability endpoints
- rsilich@direct.nyp.org
- rsilich68064@northwell.direct-ci.com
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- New York, NY
- NPI 1144531740
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1104853910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 5TH AVE",
"address_2": "L-L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280158",
"telephone_number": "212-472-0082",
"fax_number": "212-249-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 5TH AVE",
"address_2": "L-L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280158",
"telephone_number": "212-472-0082",
"fax_number": "212-249-2370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILICH",
"first_name": "ROBERT",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "196695",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "196695",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02828040",
"state": "NY"
}
],
"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 Aug 17, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.