Healthcare Provider Details

I. General information

NPI: 1871469569
Provider Name (Legal Business Name): SILVA MEDICAL CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2025
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3758 91ST ST
JACKSON HEIGHTS NY
11372-7928
US

IV. Provider business mailing address

3758 91ST ST # 2
JACKSON HEIGHTS NY
11372-7928
US

V. Phone/Fax

Practice location:
  • Phone: 516-554-4372
  • Fax:
Mailing address:
  • Phone: 929-232-1868
  • Fax: 929-205-7901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MAURICIO JOSE SILVA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 516-554-4372