OrganizationActive
Silver Lake Medical, PC
NPI 1275728842 · Adult Medicine Physician · Belleville, NJ
Provider details
- NPI number
- 1275728842
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Antonio Ciccone, President(973) 751-2060
- License
- MB057523 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
50 Newark Ave
Suite 205 - 207
Belleville, NJ 07109-1185
Phone: (973) 751-2060
Approximate (ZIP-level) locationGet directions
Mailing address
50 Newark Ave
Belleville, NJ 07109-1185
Registry dates
- Enumerated
- 2007-09-07
- Last updated
- 2010-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.