Silver Star Healthcare LLC

Primary specialty

ContractorTaxonomy code 171W00000X

License

0450076673 Issued in NJ

Legal business name

SILVER STAR HEALTHCARE LLC

Practice address

9019 Wall St
Apt 5I
North Bergen, NJ 07047-7015

Phone

(201) 293-2168

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Dexter Ahumada Trabado, MSPT, DPT, GCS

Title

Owner

Phone

(347) 781-2617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1902259906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 WALL ST",
            "address_2": "APT 5I",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070477015",
            "telephone_number": "201-293-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 WALL ST",
            "address_2": "APT 5I",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070477015",
            "telephone_number": "201-293-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STAR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "TRABADO",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "AHUMADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-781-2617",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT, DPT, GCS"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "NJ",
            "license": "0450076673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aman Khalid Siddiqui
• Rebecca Siegel
• Gladys Sillero
• Higino Daniel Silva
• Katia Silva
• Isabel Cristina Silverio-Gomez, DMD
• Simcha Weissman DO LLC
• Lidia Simeonova Simeonova, DDS
• Elizabeth Simon, D.O.
• Samundar Singh, MD

• Contractor in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Contractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.