Physician Compare National (NPI:1740332980)

HEALTHCARE PROVIDER: WALDEMAR EMILIO SILVA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1740332980
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860643905
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121119000229
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SILVA
	Individual professional last name
Provider First Name	WALDEMAR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HARVARD MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	488 NEWARK POMPTON TPKE
	Group Practice or individual's line 1 address
City	POMPTON PLAINS
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	074441936
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9738359100
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310019
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOSEPH'S HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310017
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHILTON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y