Individual provider Active NPI

Andrea Silver

  • Women's Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1124635818
Registry record updated Sep 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP019932 Issued in PA
Practice address
4400 Haverford Ave
Philadelphia, PA 19104-1361
Phone
(215) 685-7601
NPI assigned
Sep 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP019932 PA Primary

Addresses

Primary practice location

4400 Haverford Ave
Philadelphia, PA 19104-1361

Mailing address

206 New York Ave
Newfield, NJ 08344-4931

Other practice location 1

2840 W Dauphin St
Philadelphia, PA 19132-4627
Phone (215) 685-2401

Other practice location 2

1900 N 20th St
Philadelphia, PA 19121-2217
Phone (215) 685-2930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210505003099 PA Practitioner - Nurse Practitioner 4981013802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of PhiladelphiaGroup PAC ID 6305758723, 86 clinicians

Practice addresses (Care Compare)

321 W Girard Ave
Health Care Ctr 6
Philadelphia, PA 19123-1531
Phone (215) 685-3808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP019932PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Philadelphia CurrentSince Feb 2, 2021 Accepting new patients
City of Philadelphia CurrentSince Feb 2, 2021 Accepting new patients

Locations

1101 Market St
Fl 10
Philadelphia, PA 19107

1900 N 20th St
#5
Philadelphia, PA 19121
Phone (215) 685-2933

1900 N 20th St
Philadelphia, PA 19121
Phone (215) 685-2933

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

2840 W Dauphin St
Philadelphia, PA 19132
Phone (215) 685-2400

4400 Haverford Ave
Philadelphia, PA 19104
Phone (215) 685-7504

555 S 43rd St
#3
Philadelphia, PA 19104
Phone (215) 685-7504

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.

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1124635818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NEW YORK AVE",
            "city": "NEWFIELD",
            "state": "NJ",
            "postal_code": "083444931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 HAVERFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041361",
            "telephone_number": "215-685-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2840 W Dauphin St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191324627",
            "country_code": "US",
            "telephone_number": "215-685-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 N 20th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191212217",
            "country_code": "US",
            "telephone_number": "215-685-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVER",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP019932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.