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NPI Code Detail

MEDICARE: DR. GARRY M SILVESTI PA-C, DC

MEDICARE: DR. GARRY M SILVESTI PA-C, DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant25MP00368800NJ

General Provider Information

NPI Number : 1942248075
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARRY M SILVESTI PA-C, DC
Provider Business Mailing Address
First Line : 90 MATAWAN RD STE 302
Second Line :
City : MATAWAN
State : NJ
Zip : 07747-2653
Country : US
Telephone Number : 732-441-7177
Fax Number : 732-441-7165
Provider Business Practice Location Address
First Line : 1801 NEW RD
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1036
Country : US
Telephone Number : 609-208-8969
Fax Number : 833-606-0167
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 02/24/2026

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