Provider Demographics
NPI:1316933740
Name:SILVERBERG, NANETTE B (MD)
Entity type:Individual
Prefix:
First Name:NANETTE
Middle Name:B
Last Name:SILVERBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 OCEAN PKWY APT 6F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2158
Mailing Address - Country:US
Mailing Address - Phone:718-332-0270
Mailing Address - Fax:718-332-1318
Practice Address - Street 1:10 UNION SQ E
Practice Address - Street 2:SUITE 3C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3314
Practice Address - Country:US
Practice Address - Phone:212-844-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202174207NP0225X
NY2021741207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5396717OtherAETNA PPO
NY3267119OtherAETNA USHC HMO
NY1981090OtherUNITED HEALTHCARE
NY01947795Medicaid
NY3C3546OtherHEALTH NET
NY341510101OtherHEALTH PLUS
NY202174OtherHIP
NY2201219OtherGHI
NY2K9962OtherEMPIRE BCBS
NYSN2174OtherATLANTIS HEALTH
NY0100522-03OtherAMERICHOICE
NY202174-B15OtherHEALTH FIRST
NYP2882670OtherOXFORD HEALTH
NY5396717OtherAETNA PPO
NY01947795Medicaid