Provider Demographics
NPI:1457391914
Name:SILVERMAN, PHILIP J (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:J
Last Name:SILVERMAN
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 1:2800 MARCUS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1113
Mailing Address - Country:US
Mailing Address - Phone:516-622-6000
Mailing Address - Fax:
Practice Address - Street 1:970 N BROADWAY
Practice Address - Street 2:SUITE 101
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1309
Practice Address - Country:US
Practice Address - Phone:914-969-1600
Practice Address - Fax:914-969-1685
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1496292085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000308200202OtherHEALTH PLUS (BRONX)
NY01287750Medicaid
NYSP9629OtherATLANTIS HEALTH PROV. #
NY2524E2 (BLO)OtherEMPIRE BCBS SENIOR PLAN
NY1283053OtherAETNA HMO #
NY397497OtherTACONIC IPA PROVIDER #
NY4584673OtherAETNA OTHER #
NY000308200201OtherHEALTH PLUS (YNKERS)
NY2524E1 (RHO)OtherEMPIRE BCBS SENIOR PLAN
NY2524E1 (RHO)OtherEMPIRE BCBS SENIOR PLAN
NY4584673OtherAETNA OTHER #