Provider Demographics
NPI:1427292028
Name:NIKI SILVERSTEIN EYE MD LLC
Entity type:Organization
Organization Name:NIKI SILVERSTEIN EYE MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-879-7297
Mailing Address - Street 1:408 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2541
Mailing Address - Country:US
Mailing Address - Phone:908-879-7297
Mailing Address - Fax:908-879-4798
Practice Address - Street 1:408 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2541
Practice Address - Country:US
Practice Address - Phone:908-879-7297
Practice Address - Fax:908-879-4798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03981200174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1669478731OtherINDIVIDUAL NPI
NJ6369660001Medicare NSC