Individual provider Active NPI

Poliana Paula Da Silva, MD

  • Pediatrics Physician
  • Morristown, NJ
National Provider Identifier
1366930372
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA11046300 Issued in NJ
Practice address
100 Madison Ave BLDG 1
Morristown, NJ 07960-6136
Phone
(973) 971-7550
Fax
(973) 290-2388
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA11046300 NJ Primary

Addresses

Primary practice location

100 Madison Ave BLDG 1
Morristown, NJ 07960-6136

Mailing address

PO Box 416457
Boston, MA 02241-2016
Phone (844) 362-1735

Other practice location 1

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7471

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL poliana.dasilva@rwjbh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811001270 NJ Practitioner - Pediatric Medicine 1355724162 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc CurrentSince Aug 3, 2022 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Oct 28, 2023 Accepting new patients
Rwjbh Primary Care Services Pediatrics CurrentSince Oct 28, 2023 Accepting new patients
University Physician Associates of New Jersey Inc Pediatrics CurrentSince Aug 3, 2022 Accepting new patients
Practice Associates Medical Group Pediatrics CurrentSince Feb 5, 2024 Accepting new patients
Ahs Hospital Corp. Past Accepting new patients
Ahs Hospital Corp. Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

100 Madison Ave
Bldg 1
Morristown, NJ 07960
Phone (973) 971-7550

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Organizations & group practices 7

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1366930372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412016",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE BLDG 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-971-7550",
            "fax_number": "973-290-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "973-926-7471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DA SILVA",
        "first_name": "POLIANA",
        "middle_name": "PAULA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA11046300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "poliana.dasilva@rwjbh.org",
            "affiliation": "N",
            "address_1": "201 Lyons Ave",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071122027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.