Healthcare Provider Details

I. General information

NPI: 1427292028
Provider Name (Legal Business Name): NIKI SILVERSTEIN EYE MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2009
Last Update Date: 06/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 MAIN ST
CHESTER NJ
07930-2541
US

IV. Provider business mailing address

408 MAIN ST
CHESTER NJ
07930-2541
US

V. Phone/Fax

Practice location:
  • Phone: 908-879-7297
  • Fax: 908-879-4798
Mailing address:
  • Phone: 908-879-7297
  • Fax: 908-879-4798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number25MA03981200
License Number StateNJ

VIII. Authorized Official

Name: MARIA ARIAS
Title or Position: MEDICAL BILLER
Credential:
Phone: 908-879-7297