Organization Active NPI

Salei Primary Care Inc

  • Family Medicine Physician
  • Hallandale Beach, FL
National Provider Identifier
1053919217
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SALEI PRIMARY CARE INC
Practice address
2100 E Hallandale Beach Blvd Ste 302
Hallandale Beach, FL 33009-3771
Phone
(954) 998-3990
Fax
(518) 263-0113
NPI assigned
Oct 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Inesa Salei, MDNPI 1992012686
Title
Owner
Phone
(518) 610-3113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2100 E Hallandale Beach Blvd Ste 302
Hallandale Beach, FL 33009-3771

Mailing address

2100 E Hallandale Beach Blvd Ste 302
Hallandale Beach, FL 33009-3771
Phone (954) 998-3990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118002921 FL Part B Supplier - Clinic/Group Practice 2769893940 Receives reassigned benefits from 1 practitioner
Practice locations: Hallandale Beach, FL; Hollywood, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2212168Salei Primary Care Inc2100 E Hallandale Beach Blvd Suite 302, Hallandale Beach, FL 33009Certificate of waiverFeb 2, 2027

National Provider Directory

National Provider Directory

Locations

121 S 61st Ter
Ste C
Hollywood, FL 33023
Phone (786) 535-0244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1053919217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD STE 302",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093771",
            "telephone_number": "954-998-3990",
            "fax_number": "518-263-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD STE 302",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093771",
            "telephone_number": "954-998-3990",
            "fax_number": "518-263-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEI PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-10",
        "last_updated": "2023-09-06",
        "certification_date": "2023-02-19",
        "status": "A",
        "authorized_official_last_name": "SALEI",
        "authorized_official_first_name": "INESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-610-3113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.