Silver Lane Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SILVER LANE MEDICAL GROUP

Doing business as

SILVER LANE MEDICAL GROUP
Silver Lane Medical Center

Practice address

677 Silver LN
East Hartford, CT 06118-1257

Phone

(860) 568-7243

Fax

(860) 895-8107

NPI assigned

Jul 11, 2006

Organization subpart

Yes

Parent organization

MEDICAL CARE CENTER OF EAST HARTFORD LLCAs reported in NPPES

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

Authorized official

Name

Dr. Sultan Quraishi, MD

Title

Medical Director

Phone

(860) 568-7243

Specialties & licenses 4

Addresses

Other names 2

• SILVER LANE MEDICAL GROUP Doing business as
• Silver Lane Medical Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Medical Care Center of East Hartford LLC2 organizations share this tax ID, including this one

Part of

Medical Care Center of East Hartford LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medical Care Center of East Hartford LLC

  • Family Medicine Physician
  • East Hartford, CT
  • NPI 1275785214
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medical Care Center of East Hartford LLC

  • Family Medicine Physician
  • East Hartford, CT
  • NPI 1275785214
  NPPES parent name

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1164456406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 SILVER LN",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181257",
            "telephone_number": "860-568-7243",
            "fax_number": "860-895-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 SILVER LN",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181257",
            "telephone_number": "860-568-7243",
            "fax_number": "860-895-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LANE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CARE CENTER OF EAST HARTFORD LLC",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "QURAISHI",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "860-568-7243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILVER LANE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silver Lane Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice L Shields, LCSW
• Shemeca Shields
• Tawanaifa Shields
• Thomas Nicholas Shusterman, LCSW
• Cody Silks
• Holly D Simms, CRNA
• Carole A Simons, LADC
• Sriramani Sivapurapu, PHARMD
• Jadia Smith
• Joshua Caleb Smith

• Family Medicine Physician in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.