Organization Active NPI

Fred Silvestri MD, LLC

  • Surgery Physician
  • Jackson, NJ
National Provider Identifier
1639419997
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA51261 Issued in NJ
Legal business name
FRED SILVESTRI MD, LLC
Practice address
4 Long Bay Rd
Jackson, NJ 08527-2662
Phone
(201) 214-6632
NPI assigned
Feb 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Dr. Fred Silvestri, M.D.
Title
Sole Proprieter
Phone
(201) 214-6632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MA51261 NJ Primary

Addresses

Primary practice location

4 Long Bay Rd
Jackson, NJ 08527-2662

Mailing address

PO Box 268
Englewood, NJ 07631-0268
Phone (201) 214-6632

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1639419997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076310268",
            "telephone_number": "201-214-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LONG BAY RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272662",
            "telephone_number": "201-214-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED SILVESTRI MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "SILVESTRI",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "201-214-6632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA51261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.