NPIMap

Organization Active NPI

Silver Willow Wellness PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Reading, PA
National Provider Identifier
1659164697
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
SILVER WILLOW WELLNESS PC
Practice address
2395 Lancaster Pike FL 1
Reading, PA 19607-2375
Phone
(585) 233-2817
Fax
(833) 411-5741
NPI assigned
May 23, 2025
Last updated
Jun 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Julie Miller
Title
Owner
Phone
(814) 505-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

2395 Lancaster Pike FL 1
Reading, PA 19607-2375

Mailing address

2395 Lancaster Pike FL 1
Reading, PA 19607-2375
Phone (585) 233-2817

Other practice location 1

48 Colonial Dr
Horseheads, NY 14845-8532
Phone (814) 505-7060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250718000209 CT Part B Supplier - Clinic/Group Practice 5597271577 Receives reassigned benefits from 1 practitioner
Practice locations: Shelton, CT
O20260123000300 PA Part B Supplier - Clinic/Group Practice 5597271577 Receives reassigned benefits from 133 practitioners
Practice locations: Plymouth Meeting, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 137

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 137

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1659164697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 LANCASTER PIKE FL 1",
            "city": "READING",
            "state": "PA",
            "postal_code": "196072375",
            "telephone_number": "585-233-2817",
            "fax_number": "833-411-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 LANCASTER PIKE FL 1",
            "city": "READING",
            "state": "PA",
            "postal_code": "196072375",
            "telephone_number": "585-233-2817",
            "fax_number": "833-411-5741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Horseheads",
            "state": "NY",
            "postal_code": "148458532",
            "country_code": "US",
            "telephone_number": "814-505-7060",
            "fax_number": "570-300-1829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SILVER WILLOW WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-505-7060"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.