Provider Demographics
NPI:1306814728
Name:SILVERMAN, LEWIS B (MD)
Entity type:Individual
Prefix:
First Name:LEWIS
Middle Name:B
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 FORT WASHINGTON AVE FL 7
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3729
Mailing Address - Country:US
Mailing Address - Phone:212-305-9770
Mailing Address - Fax:
Practice Address - Street 1:161 FORT WASHINGTON AVE FL 7
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3729
Practice Address - Country:US
Practice Address - Phone:212-305-9770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA79131208000000X, 2080P0207X
NY3309702080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
F81114DFOtherHPHC
000000029364OtherBMC HEALTHNET
1595752OtherCIGNA
2938300OtherAETNA US HEALTHCARE
MA3128351Medicaid
61039OtherFALLON COMMUNITY HEALTH
370010617OtherRR MEDICARE DFCI
MAJ30605OtherBLUE CROSS BLUE SHIELD
3600106OtherUNITED HEALTH CARE
079131OtherTUFTS
J30605Medicare ID - Type Unspecified