Individual provider Active NPI

Mark I Silberman, M.D.,F.A.C.S.

  • Specialist
  • Great Neck, NY
National Provider Identifier
1780769653
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
146490 Issued in NY
Practice address
650 Northern Blvd
Great Neck, NY 11021-5204
Phone
(516) 466-7000
Fax
(516) 466-9025
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 146490 NY Primary

Addresses

Primary practice location

650 Northern Blvd
Great Neck, NY 11021-5204

Mailing address

650 Northern Blvd
Great Neck, NY 11021-5204
Phone (516) 466-7000

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
I20110301000336 NY Practitioner - Plastic and Reconstructive Surgery 4981744992

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146490NYMDSpecialist

Interoperability endpoints

  • Direct secure messaging: msilberman308360@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1780769653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215204",
            "telephone_number": "516-466-7000",
            "fax_number": "516-466-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215204",
            "telephone_number": "516-466-7000",
            "fax_number": "516-466-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILBERMAN",
        "first_name": "MARK",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "146490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.