Individual provider Active NPI

Monica Alexandra Silva, NP

  • Family Nurse Practitioner
  • East Moriches, NY
National Provider Identifier
1831476647
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F339065 Issued in NY
Practice address
41 Bay Ave
East Moriches, NY 11940-1209
Phone
(631) 462-2200
Fax
(866) 852-5985
NPI assigned
Nov 8, 2011
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 614896 NY
Family Nurse Practitioner 363LF0000X F339065 NY Primary

Addresses

Primary practice location

41 Bay Ave
East Moriches, NY 11940-1209

Mailing address

41 Bay Ave
East Moriches, NY 11940-1209
Phone (631) 878-1543

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Monica.Silva@sbcm.cernerdirect.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151109000118 NY Practitioner - Nurse Practitioner 7810207651 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
614896NYMDRegistered Nurse
F339065NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Condon Medical PC CurrentSince Dec 18, 2016 Accepting new patients

Locations

6080 Jericho Tpke
Ste 314
Commack, NY 11725
Phone (631) 462-2200

1715 N Ocean Ave
Medford, NY 11763
Phone (631) 462-2200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1427/brand/1/csg/1/fhir/r4
  • Direct secure messaging: monica.silva@sbcm.cernerdirect.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1831476647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BAY AVE",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401209",
            "telephone_number": "631-878-1543",
            "fax_number": "866-874-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BAY AVE",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401209",
            "telephone_number": "631-462-2200",
            "fax_number": "866-852-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "MONICA",
        "middle_name": "ALEXANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "614896",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Monica.Silva@sbcm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "41 Bay Ave",
            "city": "East Moriches",
            "state": "NY",
            "country_code": "US",
            "postal_code": "119401209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Moriches, NY

Sources for this page

Verify at the official NPI Registry.