Organization Active NPI

Mario G. Silvestri, DPM, PC

  • Podiatrist
  • Endicott, NY
National Provider Identifier
1235325861
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0043191 Issued in NY
Legal business name
MARIO G. SILVESTRI, DPM, PC
Practice address
1003 Monroe St
Endicott, NY 13760-5221
Phone
(607) 484-3668
Fax
(607) 757-9375
NPI assigned
Sep 18, 2007
Organization subpart
Yes
Parent organization
TIER FOOT CARE ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Dr. Mario George Silvestri, DPMNPI 1316903776
Title
Physician/Owner
Phone
(607) 484-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N0043191 NY Primary

Addresses

Primary practice location

1003 Monroe St
Endicott, NY 13760-5221

Mailing address

1003 Monroe St
Endicott, NY 13760-5221
Phone (607) 484-3668

Other identifiers 2

IdentifierTypeStateIssuer
480007267OtherRR MCR
01045629MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120702000119 NY Part B Supplier - Clinic/Group Practice 3476718131 Receives reassigned benefits from 2 practitioners
Practice locations: Endicott, NY
O20120724000919 NY DME Supplier - Physician - Podiatry 3476718131 Practice locations: Endicott, NY

National Provider Directory

National Provider Directory
Part of
Mario G Silvestri DPM

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1235325861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MONROE ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605221",
            "telephone_number": "607-484-3668",
            "fax_number": "607-757-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MONROE ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605221",
            "telephone_number": "607-484-3668",
            "fax_number": "607-757-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO G. SILVESTRI, DPM, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIER FOOT CARE ASSOCIATES",
        "enumeration_date": "2007-09-18",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "SILVESTRI",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "607-484-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0043191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "480007267",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01045629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.