Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Silver Lake Medical PC

Organization Family Medicine Physician · NPI 1538366679

Silver Lake Medical PC is a Family Medicine Physician in Belleville, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

36 Newark Ave Ste 324
Belleville, NJ 07109
Phone: (973) 751-2060
Fax: (973) 751-3334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MB57523 (NJ)

Record details

NPI number1538366679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antonio Ciccone — President · (973) 751-2060
NPI enumeratedJuly 2, 2007
Last updated in NPPESJune 16, 2008
Mailing address36 Newark Avenue, Suite 324, Belleville, NJ 07109

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