Active NPI
Annette Christina Da Silva, D.O.
- Physical Medicine & Rehabilitation Physician
- Kearny, NJ
National Provider Identifier
1326240284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25MB07296400
- Practice address
- 206 Bergen Ave Ste 203
Kearny, NJ 07032-3324 - Phone
- (201) 681-1800
- Fax
- (888) 485-0001
- NPI assigned
- Jun 4, 2007
- Last updated
- Aug 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A209768-1 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MB07296400 | NJ | Primary |
Addresses
Primary practice location
206 Bergen Ave Ste 203
Kearny, NJ 07032-3324
Mailing address
206 Bergen Ave Ste 203
Kearny, NJ 07032-3324
Phone (201) 681-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9717849 | Other | NJ | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040127000960 | NY | Practitioner - Physical Medicine and Rehabilitation | 0042113292 | Practice locations: New York, NY |
| I20040420000152 | NJ | Practitioner - Physical Medicine and Rehabilitation | 0042113292 | Practice locations: Kearny, NJ; Montclair, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Nova Southeastern College of Osteo Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
206 Bergen Ave
Suite 203
Kearny, NJ 07032-3386
Phone (201) 681-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A209768-1 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noel C Nowicki MD PA | Past | Accepting new patients | |
| Plaza East Internal Medicine PC | Past | Accepting new patients | |
| Florida Vascular Consultants PA | Past | Accepting new patients | |
| The Center for Medical Healing on Madison | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Kearny, NJ
- NPI 1972520633
-
- Internal Medicine Physician
- Montclair, NJ
- NPI 1396832051
-
- Vascular Surgery Physician
- Maitland, FL
- NPI 1770590804
-
- Legal Medicine
- New York, NY
- NPI 1699787259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186012800000",
"number": "1326240284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 BERGEN AVE STE 203",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070323324",
"telephone_number": "201-681-1800",
"fax_number": "888-485-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 BERGEN AVE STE 203",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070323324",
"telephone_number": "201-681-1800",
"fax_number": "888-485-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DA SILVA",
"first_name": "ANNETTE",
"middle_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "A209768-1",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MB07296400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9717849",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kearny, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.
- 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.