Provider Demographics
NPI:1871530170
Name:SILVERSTEIN, JEFFREY IRA (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:IRA
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ATLANTIC
Other - Middle Name:UROLOGY
Other - Last Name:ASSOCIATES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:495 IRON BRIDGE RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-5306
Mailing Address - Country:US
Mailing Address - Phone:732-683-1617
Mailing Address - Fax:732-683-1619
Practice Address - Street 1:495 IRON BRIDGE RD
Practice Address - Street 2:SUITE 11
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5306
Practice Address - Country:US
Practice Address - Phone:732-683-1617
Practice Address - Fax:732-683-1619
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA056179208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE85123Medicare UPIN
NJ670908Medicare PIN