Provider Demographics
NPI:1710677091
Name:SILVER STAR MEDICAL ASSOCIATION OF NJ PC
Entity Type:Organization
Organization Name:SILVER STAR MEDICAL ASSOCIATION OF NJ PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:ALUYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-662-2404
Mailing Address - Street 1:600 E CRESCENT AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:UPPER SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-1846
Mailing Address - Country:US
Mailing Address - Phone:845-738-8770
Mailing Address - Fax:
Practice Address - Street 1:600 E CRESCENT AVE STE 305
Practice Address - Street 2:
Practice Address - City:UPPER SADDLE RIVER
Practice Address - State:NJ
Practice Address - Zip Code:07458-1846
Practice Address - Country:US
Practice Address - Phone:845-738-8770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty