Silvergate Preparatory School LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SILVERGATE PREPARATORY SCHOOL LLC

Practice address

981 Rte 22 Ste 202
Bridgewater, NJ 08807-2946

Phone

(908) 801-6700

Fax

(908) 450-6223

NPI assigned

Jan 21, 2015

Organization subpart

No

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

Authorized official

Name

Melissa Langford

Title

Executive Director

Phone

(908) 801-6700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1740679232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 RTE 22 STE 202",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072946",
            "telephone_number": "908-801-6700",
            "fax_number": "908-450-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 RTE 22 STE 202",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072946",
            "telephone_number": "908-801-6700",
            "fax_number": "908-450-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERGATE PREPARATORY SCHOOL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-801-6700"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonyo Shin, MD
• Kathleen Marie Shouffler, RN CNS
• Leon H Shulman, MD
• Nancy A Shupack, LCSW
• Amanda Sillib
• Simon L Chiang LLC
• Audrey Sindac-Chen, PHARMD
• Harleen Singh, PA-C
• Sonia Singh, BSW/MSWINTERN
• Karly Jean Skerbetz

• Counselor in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.