Provider Demographics
NPI:1689617748
Name:SILBERMAN, JERRY ALLEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:ALLEN
Last Name:SILBERMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 HWY 35
Mailing Address - Street 2:SUITE #4
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-1865
Mailing Address - Country:US
Mailing Address - Phone:732-671-2255
Mailing Address - Fax:732-671-2258
Practice Address - Street 1:1650 HWY 35
Practice Address - Street 2:SUITE #4
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-1865
Practice Address - Country:US
Practice Address - Phone:732-671-2255
Practice Address - Fax:732-671-2258
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD01439213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0262507Medicaid
NJSI182096Medicare ID - Type Unspecified
NJT44830Medicare UPIN