Individual provider Active NPI

Matthew Silverstein, DMD

  • Periodontics
  • Butler, NJ
National Provider Identifier
1487918512
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22DI02594900 Issued in NJ
Practice address
1375 Route 23
Butler, NJ 07405-1733
Phone
(814) 360-4792
NPI assigned
Jul 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 22DI02594900 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 22DI02594900 NJ

Addresses

Primary practice location

1375 Route 23
Butler, NJ 07405-1733

Mailing address

20 Altamont CT
Morristown, NJ 07960-5325
Phone (814) 360-4792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 2, 2015 through Nov 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02594900NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Periodontics and Dental Implants LLC Periodontics Past Accepting new patients

Organizations & group practices 1

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": "1341360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1487918512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ALTAMONT CT",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605325",
            "telephone_number": "814-360-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 ROUTE 23",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "074051733",
            "telephone_number": "814-360-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERSTEIN",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-04",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02594900",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02594900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, NJ

Sources for this page

Verify at the official NPI Registry.