Andre R Silva, PRACTITIONER

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

BAP-2020-00168 Issued in MA

Practice address

176 Newbury St Ste 31
Boston, MA 02116-2872

Phone

(617) 785-6837

NPI assigned

Jul 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Avalon Home Care Agency Inc

  • Home Health Agency
  • Boston, MA
  • NPI 1023636990
  NPD Authorized official

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1992323877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 NEWBURY ST STE 31",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162872",
            "telephone_number": "617-785-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 NEWBURY ST STE 31",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162872",
            "telephone_number": "617-785-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "ANDRE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MA",
            "license": "BAP-2020-00168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "176 Newbury St Ste 31",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021162872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jane Seligson Sillman, M.D.
• Maria Silva Alonso
• Raphaela Santos Silva Couzzi
• Heitor Jose Silva Medeiros, MD
• Gabriel Artemio Silva Soto
• Anna J Silva, AGNP
• Autumn Silva, CNP
• Cheryl Silva, PHARMD, RPH
• Gisele Sampaio Silva, MD, PHD
• Hannah Silva, PA-C

• Other Technician in Boston, MA
• Providers in Boston, MA by specialty
• Other Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.