Individual provider Active NPI

Russell Silverman, MD

  • Cardiovascular Disease Physician
  • East Syracuse, NY
National Provider Identifier
1700808250
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
139064 Issued in NY
Practice address
4939 Brittonfield Pkwy
Ste 202
East Syracuse, NY 13057-9208
Phone
(315) 634-6699
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 139064 NY Primary
Nuclear Cardiology Physician 207UN0901X 139064 NY

Addresses

Primary practice location

4939 Brittonfield Pkwy
Ste 202
East Syracuse, NY 13057-9208

Mailing address

4939 Brittonfield Pkwy
Ste 202
East Syracuse, NY 13057-9208
Phone (315) 634-6699

Other identifiers 2

IdentifierTypeStateIssuer
00769099MedicaidNY
00767184MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100811000001 NY Practitioner - Cardiovascular Disease (Cardiology) 6507751997 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of Ny Upstate Medical University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

104 Union Ave
Syracuse, NY 13203-1843

104 Union Ave
Syracuse, NY 13203-1846

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000

22670 Summit Dr
BLDG 6
Watertown, NY 13601-7208
Phone (315) 779-7430

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

4101 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 637-7878

4103 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 744-1500

4117 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 744-1551

4939 Brittonfield Pkwy
Suite 202
East Syracuse, NY 13057-9208
Phone (315) 634-6699

5100 W Taft Rd
Liverpool, NY 13088-3807
Phone (315) 452-2828

5100 W Taft Rd
Liverpool, NY 13088-4841

5301 W Genesee St
Camillus, NY 13031-2238

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical PC CurrentSince Aug 1, 2016 Accepting new patients
Heart Care Center PC Cardiovascular Disease CurrentSince Sep 22, 2004 Accepting new patients
St Joseph'S Hospital Health Center CurrentSince Oct 1, 2012 Accepting new patients
St. Joseph'S Physician Health, P.C. CurrentSince Nov 1, 2016 Accepting new patients
St. Joseph'S Pathology, PC Current Accepting new patients
St Josephs Hospital Health Center CurrentSince Oct 1, 2012 Accepting new patients
North Medical PC Current Accepting new patients

Locations

4939 Brittonfield Pkwy
Ste 202
East Syracuse, NY 13057
Phone (315) 452-2555

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

4820 W Taft Rd
Ste 209
Liverpool, NY 13088
Phone (315) 448-6125

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

301 Prospect Ave
Rm 1605
Syracuse, NY 13203

Interoperability endpoints

  • Direct secure messaging: rsilverman2367100@direct.trinity-health.org

Organizations & group practices 7

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1700808250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 BRITTONFIELD PKWY",
            "address_2": "STE 202",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579208",
            "telephone_number": "315-634-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 BRITTONFIELD PKWY",
            "address_2": "STE 202",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579208",
            "telephone_number": "315-634-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "139064",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "139064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00769099",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00767184",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.