Individual provider Active NPI

Michael Sloan Silverberg, M.D.

  • Family Medicine Physician
  • Clinton, NJ
National Provider Identifier
1699770412
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06667600 Issued in NJ
Practice address
59 Old Route 22
The Doctor Is in, PA
Clinton, NJ 08809
Phone
(908) 730-6363
Fax
(908) 730-8185
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06667600 NJ Primary

Addresses

Primary practice location

59 Old Route 22
The Doctor Is in, PA
Clinton, NJ 08809

Mailing address

149M Highway 31
The Doctor Is in, PA
Flemington, NJ 08822
Phone (908) 782-7700

Other identifiers 3

IdentifierTypeStateIssuer
D07318900OtherNJCDS #
1354782391OtherNJDPA #
25MA06667600OtherNJNJ MED LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090521000508 NJ Practitioner - Family Practice 2365591351 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Irish Medical Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
Medemerge P.a. Family Medicine Past Accepting new patients
Angelo del Priore DPM Past Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1699770412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149M HIGHWAY 31",
            "address_2": "THE DOCTOR IS IN, PA",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "08822",
            "telephone_number": "908-782-7700",
            "fax_number": "908-782-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 OLD ROUTE 22",
            "address_2": "THE DOCTOR IS IN, PA",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "08809",
            "telephone_number": "908-730-6363",
            "fax_number": "908-730-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERBERG",
        "first_name": "MICHAEL",
        "middle_name": "SLOAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06667600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS #",
            "identifier": "D07318900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPA #",
            "identifier": "1354782391",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ MED LICENSE #",
            "identifier": "25MA06667600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NJ

Sources for this page

Verify at the official NPI Registry.