SILVER LAKE MEDICAL, PC
NPI 1750875589
Pain Medicine - Pain Medicine in Belleville, NJ

NPI Status: Active since June 15, 2018

Contact Information

727 JORALEMON ST
BELLEVILLE, NJ
ZIP 07109
Phone: (973) 751-2060
Fax: (973) 751-2291

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  • Organization
  • Pain Medicine
  • Pain Medicine

About SILVER LAKE MEDICAL, PC

This page provides the complete NPI Profile along with additional information for Silver Lake Medical, Pc, a provider established in Belleville, New Jersey operating as a Pain Medicine. The healthcare provider is registered in the NPI registry with number 1750875589 assigned on June 2018. The practitioner's primary taxonomy code is 208VP0000X with license number 25MB05752300 (NJ). The provider is registered as an organization and their NPI record was last updated 7 years ago. Silver Lake Medical, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Antonio Ciccone Do (Medical Director)

NPI
1750875589
Provider Name
SILVER LAKE MEDICAL, PC
Entity Type
Organization
Location Address
727 JORALEMON ST BELLEVILLE, NJ 07109
Location Phone
(973) 751-2060
Location Fax
(973) 751-2291
Mailing Address
PO BOX 599 ROSELAND, NJ 07068
Mailing Phone
(973) 901-1515
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2018
Last Update Date
06-15-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Pain Medicine

Taxonomy Code
208VP0000X
Type
Allopathic & Osteopathic Physicians
License No.
25MB05752300
License State
NJ
Taxonomy Description
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANTONIO CICCONE DO

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(973) 751-2060

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750875589
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710016710516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 7 + 1 + 0 + 5 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1750875589 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598294019GOUT INSTITUTE OF AMERICA LLC
Organization
Anesthesiology (Pain Medicine)727 JORALEMON ST
BELLEVILLE, NJ 07109
(973) 450-1600
1770006306KINGS ANESTHESIA
Organization
Anesthesiology727 JORALEMON ST
BELLEVILLE, NJ 07109
(973) 450-1600
1477046092THE GOUT INSTITUTE OF AMERICA AT BELLEVILLE, PC
Organization
Pain Medicine (Pain Medicine)727 JORALEMON ST
BELLEVILLE, NJ 07109
(973) 751-2060
1750413464DR. ANTONIO CICCONE DO
Individual
Family Medicine727 JORALEMON ST
BELLEVILLE, NJ 07109
(973) 751-2060
1124580634VIP WELLNESS, LLC
Organization
Family Medicine727 JORALEMON ST
BELLEVILLE, NJ 07109
(973) 751-2060
1730734070VIP REHABILITATION INC
Organization
Pain Medicine (Pain Medicine)727 JORALEMON ST
BELLEVILLE, NJ 07109
(973) 751-2060
1205213071DR. EDWARD S ESSES M.D.
Individual
Radiology (Vascular & Interventional Radiology)727 JORALEMON ST
BELLEVILLE, NJ 07109
(516) 717-1839

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750875589, enumerated in the NPI registry as an "organization" on June 15, 2018

The provider is located at 727 Joralemon St Belleville, Nj 07109 and the phone number is (973) 751-2060

This medical organization specializes in Pain Medicine with taxonomy code 208VP0000X

This NPI record was last updated on June 15, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.