Provider Demographics
NPI:1639138571
Name:SILVERSTEIN, LEONARD (MD)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:
Last Name:SILVERSTEIN
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 1:82 E ALLENDALE RD
Mailing Address - Street 2:SUITE 7A AND 7B
Mailing Address - City:SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-3057
Mailing Address - Country:US
Mailing Address - Phone:201-236-8282
Mailing Address - Fax:201-236-0138
Practice Address - Street 1:82 E ALLENDALE RD
Practice Address - Street 2:SUITE 7A AND 7B
Practice Address - City:SADDLE RIVER
Practice Address - State:NJ
Practice Address - Zip Code:07458-3057
Practice Address - Country:US
Practice Address - Phone:201-236-8282
Practice Address - Fax:201-236-0138
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA57113174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ089914OtherMEDICARE GROUP ID
NJ089914OtherMEDICARE GROUP ID
NJF20113Medicare UPIN