Silverlife NP in Adult Health P.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SILVERLIFE NP IN ADULT HEALTH P.C.

Doing business as

Silverlife NP In Adult Health P.C.

Practice address

5836 254TH St
Little Neck, NY 11362-2124

Phone

(917) 566-7645

NPI assigned

Dec 31, 2019

Organization subpart

No

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

Authorized official

Name

Gina Lee, NPNPI 1083037964

Title

NP/President

Phone

(917) 566-7645

Specialties & licenses 1

Addresses

Other names 1

• Silverlife NP In Adult Health P.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Lee, PMHNP-BC &ANP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Neck, NY
  • NPI 1083037964

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1699314179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 171ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582209",
            "telephone_number": "917-566-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5836 254TH ST",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622124",
            "telephone_number": "917-566-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERLIFE NP IN ADULT HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "NP/PRESIDENT",
        "authorized_official_telephone_number": "917-566-7645",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silverlife NP In Adult Health P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Eun Jin Shin, D.D.S
• Sally Shin, OTR/L
• Victoria Shin, LMHC
• Roman Shinder, MD
• Linda Sheryl Siegel, DDS
• Donald G. Sims, MSED, LMHC
• Jenny Somekh, OT
• Miae Son, LAC
• Kelly Song
• Gary F Spitz, MD

• Adult Mental Health Clinic/Center in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.