Healthcare Provider Details

I. General information

NPI: 1780308635
Provider Name (Legal Business Name): SILVANO DIMONTE JR. PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 RIDGEWOOD RD STE 400
WYOMISSING PA
19610-1193
US

IV. Provider business mailing address

3426 BOWMAN ST
PHILADELPHIA PA
19129-1509
US

V. Phone/Fax

Practice location:
  • Phone: 908-346-3046
  • Fax:
Mailing address:
  • Phone: 908-346-3046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN787671
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: