Provider Demographics
NPI:1689666091
Name:SILBERBERG, STEVE (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:SILBERBERG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 ROUTE 34
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3283
Mailing Address - Country:US
Mailing Address - Phone:732-583-9797
Mailing Address - Fax:732-583-3634
Practice Address - Street 1:935 ROUTE 34
Practice Address - Street 2:SUITE 1A
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3283
Practice Address - Country:US
Practice Address - Phone:732-583-9797
Practice Address - Fax:732-583-3634
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00396400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJSI004776Medicare ID - Type Unspecified
NJU26523Medicare UPIN