Individual provider Active NPI

Silvina Indri, N.D, MH

  • Specialist
  • West New York, NJ
National Provider Identifier
1508293168
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ND100179 Issued in CT
Practice address
439 60TH St
West New York, NJ 07093-2211
Phone
(201) 681-6613
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ND100179 CT Primary

Addresses

Primary practice location

439 60TH St
West New York, NJ 07093-2211

Mailing address

26 Piersoll Rd
Old Bridge, NJ 08857-1537
Phone (201) 681-6613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND100179CTMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1508293168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PIERSOLL RD",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571537",
            "telephone_number": "201-681-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932211",
            "telephone_number": "201-681-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDRI",
        "first_name": "SILVINA",
        "name_prefix": "Dr.",
        "credential": "N.D, MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "ND100179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.