Provider Demographics
NPI:1508880337
Name:SYLVESTER, JOHN E (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:E
Last Name:SYLVESTER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8946 77TH TER E
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-6421
Practice Address - Country:US
Practice Address - Phone:941-907-9053
Practice Address - Fax:941-907-9473
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000254382085R0001X
FLME1059712085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP931072Medicaid
FL3598126OtherCIGNA
WA1040831Medicaid
FL140878OtherUNIVERSAL
FL146YSOtherBCBS FL
FL353595OtherAVMED
FL0055236-00Medicaid
FL4077743OtherAETNA
FLP931072OtherOPTIMUM
FL01677174OtherAMERIGROUP
FLP01047443OtherRAILROAD MEDICARE
FLP118845OtherFREEDOM
WA000178904Medicare PIN
FLCU630XMedicare PIN
FL140878OtherUNIVERSAL
FL3598126OtherCIGNA