SILVER STAR HEALTHCARE LLC (NPI# 1902259906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902259906 |
| Entity Type | Organization |
| Organization Name | SILVER STAR HEALTHCARE LLC |
| Practice Address |
9019 Wall St Apt 5i North Bergen NJ 07047-7015 |
| Practice Telephone | 2012932168 |
| Mailing Telephone | 2012932168 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | MR. DEXTER AHUMADA TRABADO (OWNER) |
| Authorized Official Telephone | 3477812617 |
| Authorized Official Credential | MSPT, DPT, GCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 0450076673 | NJ | Other Service Providers |
| Street Address |
9019 WALL ST APT 5I |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047-7015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619193885 | Celeste Morales | Contractor | 6603 Durham Ave., Suite 2, North Bergen, NJ 07047-3589 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808902 | Yasmen Mustafa | Contractor | 50 Passaic Ave Apt 401, Kearny, NJ 07032-1155 | 2020-10-13 |
| 1447857297 | Shirley Pierre-louis | Contractor | 18 Canterbury Ln, Hackettstown, NJ 07840-3436 | 2020-10-05 |
| 1770190985 | Christine R Poulton | Contractor | 814 Jackson Ave, Lindenwold, NJ 08021-1218 | 2020-09-30 |
| 1790392330 | Alumni Staffing LLC | Contractor | 1031 Us Highway 22 Ste 109, Bridgewater, NJ 08807-2952 | 2020-09-28 |
| 1093328429 | Kathleen Darrow | Contractor | 107 Manor Ave, Oaklyn, NJ 08107-1143 | 2020-08-25 |
| 1174149744 | Dellshone Tyrece Mckenzie | Contractor | 24 W Railroad Ave Ste 168, Tenafly, NJ 07670-1735 | 2020-06-19 |
| 1144844895 | Robin Carlena Bailey | Contractor | 60 Speedway Ave, Newark, NJ 07106-2217 | 2020-05-28 |
| 1346880861 | Keith A Hinton Jr. | Contractor | 301 Maple Ave Apt 223, North Plainfield, NJ 07060-6653 | 2020-01-13 |
| 1861044927 | Lawrence Gerald Bash | Contractor | 67 Cedarbrook Ave, Bridgeton, NJ 08302-1611 | 2019-07-09 |
| 1407412869 | Rosemary Bergamini | Contractor | 311 Millburn Ave, Millburn, NJ 07041-1643 | 2019-05-11 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.