Active NPI
Aixell Josefina Mercedes Salas, M.D.
- Pediatrics Physician
- Blackwood, NJ
National Provider Identifier
1013127372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA09217100
- Practice address
- 535 S Black Horse Pike
Blackwood, NJ 08012-2807 - Phone
- (856) 228-1061
- Fax
- (856) 228-1907
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA09217100 | NJ | |
| Pediatrics Physician | 208000000X | 25MA09217100 | NJ | Primary |
Addresses
Primary practice location
535 S Black Horse Pike
Blackwood, NJ 08012-2807
Mailing address
535 S Black Horse Pike
Blackwood, NJ 08012-2807
Phone (856) 228-1061
Other practice location 1
741 S 2nd Ave Ste B
Galloway, NJ 08205-9542
Phone (609) 748-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dodge City Medical Center Chartered | Past | Accepting new patients | |
| Shore Family Medicine Ass | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Somers Point, NJ
- NPI 1003851759
-
- General Practice Physician
- Dodge City, KS
- NPI 1437131265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1013127372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 S BLACK HORSE PIKE",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080122807",
"telephone_number": "856-228-1061",
"fax_number": "856-228-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 S BLACK HORSE PIKE",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080122807",
"telephone_number": "856-228-1061",
"fax_number": "856-228-1907"
}
],
"practiceLocations": [
{
"address_1": "741 S 2nd Ave Ste B",
"address_purpose": "LOCATION",
"city": "Galloway",
"state": "NJ",
"postal_code": "082059542",
"country_code": "US",
"telephone_number": "609-748-8500",
"fax_number": "609-748-6700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCEDES SALAS",
"first_name": "AIXELL",
"middle_name": "JOSEFINA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA09217100",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA09217100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.