Provider Demographics
NPI:1114251642
Name:SILVER, JUDY (PA)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:SILVER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:MULLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 HEKEL RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5263
Mailing Address - Country:US
Mailing Address - Phone:203-258-8135
Mailing Address - Fax:
Practice Address - Street 1:11 HEKEL RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5263
Practice Address - Country:US
Practice Address - Phone:203-258-8135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00235900363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant