Provider Demographics
NPI:1124567037
Name:SILVER, ALEX (NP)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:SILVER
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 OCEAN VIEW AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6828
Mailing Address - Country:US
Mailing Address - Phone:718-400-7800
Mailing Address - Fax:718-708-5420
Practice Address - Street 1:401 OCEAN VIEW AVE FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6828
Practice Address - Country:US
Practice Address - Phone:718-400-7800
Practice Address - Fax:718-708-5420
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-13
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR23775000163W00000X
NY725898163W00000X
FLRN9598500163W00000X
FLAPRN11030882363LF0000X
NY353594363LF0000X
NJ26NJ15074000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY731780805OtherDRIVER LICENSE