Organization
SILVER LAKE MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO CICCONE DO (MEDICAL DIRECTOR)
(973) 751-2060
Entity
Organization
Contact information
Practice address
727 JORALEMON ST, BELLEVILLE, NJ 07109-1455
(973) 751-2060
(973) 751-2291
Mailing address
PO BOX 599, ROSELAND, NJ 07068-0599
(973) 901-1515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
25MB05752300
NJ
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us