Silver Lake Drug Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SILVER LAKE DRUG INC

Practice address

577 Goffle Rd
Wyckoff, NJ 07481-2946

Phone

(201) 444-2444

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael B Rebarber

Title

Owner

Phone

(201) 444-2444

Specialties & licenses 1

Addresses

Other names 1

• Davis Surgical Doing business as

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1891851192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 GOFFLE RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "07481",
            "telephone_number": "201-444-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 GOFFLE RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812946",
            "telephone_number": "201-444-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "REBARBER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-444-2444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Li Ching Sheng, PHARMD
• Tina M. Sherry, PSY.D.
• Alanna Shinske
• Zoya Shir, NP
• Lauren Michele Shub, LCSW
• Melanie A Sinatra, M.D.F.A.C.S.
• Gabriella Lynn Sinoway, OD
• Tracey Lynn Sinoway, O.D.
• Lindsey Sison, LCSW
• Stuart F. Slavin, MD

• Durable Medical Equipment & Medical Supplies in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.