Basic Information
| Provider Information | |||||||||
| NPI: | 1750360905 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZADOR-SILVERMAN | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | ZADOR | ||||||||
| OtherFirstName: | CHRISTINE | ||||||||
| OtherMiddleName: | M | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | D.O. | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 41 UNIVERSITY DR | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | NEWTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189401873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157107037 | ||||||||
| FaxNumber: | 2157105181 | ||||||||
| Practice Location | |||||||||
| Address1: | 1609 WOODBOURNE RD | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | LEVITTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190571500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159451500 | ||||||||
| FaxNumber: | 2159459192 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/14/2006 | ||||||||
| LastUpdateDate: | 05/18/2021 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | |||||||||
| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 05/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS007760L | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 30080577 | 01 | PA | KEYSTONE FIRST | OTHER | 96498 | 01 | PR | OPERATORS 825 WELFARE | OTHER | OS007760L | 01 | PA | STATE | OTHER | 0073048400002 | 05 | PA | MEDICAID | 0716351000 | 01 | PA | KEYSTONE EAST | OTHER | 465546 | 01 | PA | AENTA USHC HMO | OTHER | P417831 | 01 | PA | OXFORD | OTHER | 11864300 | 01 | PR | U.S. DEPT OF LABOR | OTHER | 08127670 | 01 | PA | MEDICARE TRAVELERS | OTHER | 1292179002 | 01 | PA | CIGNA | OTHER | J22332 | 01 | PA | AMERIHEALTH ICHP | OTHER | P00926830 | 01 | PA | RAILROAD MEDICARE | OTHER | 2Y1930 | 01 | PA | HEALTHNET | OTHER | 022332 | 01 | PA | BLUE CROSS BLUE SHIELD | OTHER | 20858 | 01 | PA | UMWA | OTHER | 4513943 | 01 | PA | AETNA PPO | OTHER |