Organization Active NPI

Silver CKD, Inc

  • Clinic/Center
  • Cherry Hill, NJ
National Provider Identifier
1629094156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
22241 Issued in NJ
Legal business name
SILVER CKD, INC
Practice address
1417 Brace Rd
Cherry Hill, NJ 08034-3524
Phone
(856) 795-3131
Fax
(856) 795-7062
NPI assigned
Jul 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marc Silver
Title
President
Phone
(856) 795-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 22241 NJ Primary

Addresses

Primary practice location

1417 Brace Rd
Cherry Hill, NJ 08034-3524

Mailing address

1417 Brace Rd
Cherry Hill, NJ 08034-3524
Phone (856) 795-3131

Other identifiers 1

IdentifierTypeStateIssuer
0075892MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629094156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 BRACE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343524",
            "telephone_number": "856-795-3131",
            "fax_number": "856-795-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 BRACE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343524",
            "telephone_number": "856-795-3131",
            "fax_number": "856-795-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CKD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-795-3131"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "22241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075892",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.