Active NPI
Salvatore Silvio Vassallo
- Physician Assistant
- Leland, NC
National Provider Identifier
1053216820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-17153
- Practice address
- 1168 E Cutlar Xing
Leland, NC 28451-6484 - Phone
- (910) 332-3800
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-17153 | NC | Primary |
Addresses
Primary practice location
1168 E Cutlar Xing
Leland, NC 28451-6484
Mailing address
PO Box 5105
Belfast, ME 04915-5100
Phone (910) 332-3800
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792195200000",
"number": "1053216820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5105",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155100",
"telephone_number": "910-332-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1168 E CUTLAR XING",
"city": "LELAND",
"state": "NC",
"postal_code": "284516484",
"telephone_number": "910-332-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASSALLO",
"first_name": "SALVATORE",
"middle_name": "SILVIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-17",
"certification_date": "2026-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-17153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.