Provider Demographics
NPI:1588683635
Name:SILBERMAN, SETH J (MD)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:J
Last Name:SILBERMAN
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 1:3700 ROUTE 33
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-0378
Mailing Address - Country:US
Mailing Address - Phone:732-280-7855
Mailing Address - Fax:732-280-7815
Practice Address - Street 1:3700 ROUTE 33
Practice Address - Street 2:SUITE 101
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-0775
Practice Address - Country:US
Practice Address - Phone:732-280-7855
Practice Address - Fax:732-280-7815
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05304700207Y00000X, 207YX0007X
OH35066861207Y00000X, 207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0979955Medicaid
OH100215OtherUNITED HEALTHCARE
OHR66861OtherSUMMACARE HEALTH PLAN
OH000000074772OtherANTHEM BCBS
OH34184250900OtherTRICARE
OH1090671OtherINDEPENDENT HEALTH
OH71520OtherQUALCHOICE
OH100214OtherUNITED HEALTHCARE
OH000000074772OtherANTHEM BCBS
OH0979955Medicaid
OH9289121Medicare PIN
E20282Medicare UPIN
OHR66861OtherSUMMACARE HEALTH PLAN