Individual provider Active NPI

William Paul Silberberg, M.D.

  • Pediatrics Physician
  • Woodbridge, CT
National Provider Identifier
1740510080
Registry record updated Jan 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
15162 Issued in CT
Practice address
31 Jenick LN
Woodbridge, CT 06525-1935
Phone
(203) 397-0471
NPI assigned
Jan 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 15162 CT Primary

Addresses

Primary practice location

31 Jenick LN
Woodbridge, CT 06525-1935

Mailing address

31 Jenick LN
Woodbridge, CT 06525-1935
Phone (203) 397-0471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160516000574 CT Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9931498961

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15162CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262995200000",
    "number": "1740510080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 JENICK LN",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251935",
            "telephone_number": "203-397-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 JENICK LN",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251935",
            "telephone_number": "203-397-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILBERBERG",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-09",
        "last_updated": "2010-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "15162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

Verify at the official NPI Registry.