Paolo Augusto Salvatore, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08997700 Issued in NJ

Practice address

67 Walnut Ave # 402a
Clark, NJ 07066-1640

Phone

(732) 499-9110

Fax

(732) 396-8445

NPI assigned

Jan 31, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19339/brand/1/csg/1/fhir/r4

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.

• Lisik-Roberti Clinical Medicine LLC

  • Internal Medicine Physician
  • Clark, NJ
  • NPI 1316401516
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694217600000",
    "number": "1043516636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MOUNTAIN BLVD EXT STE 209",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595658",
            "telephone_number": "908-956-3411",
            "fax_number": "732-469-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WALNUT AVE # 402A",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661640",
            "telephone_number": "732-499-9110",
            "fax_number": "732-396-8445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Helen St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "NJ",
            "postal_code": "070595817",
            "country_code": "US",
            "telephone_number": "908-756-3422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Mountain Blvd Ext Ste 209",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "NJ",
            "postal_code": "070595658",
            "country_code": "US",
            "telephone_number": "908-956-3411",
            "fax_number": "732-469-7917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVATORE",
        "first_name": "PAOLO",
        "middle_name": "AUGUSTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2023-09-09",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08997700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Sabharwal, MD
• Surabhi Sachan-Prasad, M.D.
• Rakesh Sahni, MD
• Sheila Sahni, M.D.
• Timothy Richard Salkowski, PT, DPT
• Donna Arthur Salvo
• Catherine Marie Samonte, M.D.
• Dulce Suapengco Samonte, MD
• La'Tesha Sampson, LCSW
• Catherine V. Samuelian, P.T.

• Internal Medicine Physician in Clark, NJ
• Providers in Clark, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.