Provider Demographics
NPI:1316945801
Name:SILVERBERG, MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:SILVERBERG
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 1:8 WHITE ROCK TER
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1645
Mailing Address - Country:US
Mailing Address - Phone:917-885-1789
Mailing Address - Fax:732-264-4278
Practice Address - Street 1:8 WHITE ROCK TER
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1645
Practice Address - Country:US
Practice Address - Phone:917-885-1789
Practice Address - Fax:732-264-4278
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06525100207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01477527Medicaid
E-52770Medicare UPIN
NY01477527Medicaid