Active NPI
Salei Primary Care Inc
- Family Medicine Physician
- Hallandale Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Inesa Salei, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2212168 | Salei Primary Care Inc | Certificate of waiver | Feb 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.