Salus Med PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07738300 Issued in NJ

Legal business name

SALUS MED PC

Practice address

121 Cedar LN
Suite2B
Teaneck, NJ 07666-4457

Phone

(732) 485-6874

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Raymond Manzano Villongco, M.D,NPI 1962420281

Title

Ceo

Phone

(732) 329-1257

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Raymond Villongco, M.D

  • Internal Medicine Physician
  • Teaneck, NJ
  • NPI 1962420281
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1073652210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TANNER DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409488",
            "telephone_number": "732-329-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CEDAR LN",
            "address_2": "SUITE2B",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664457",
            "telephone_number": "732-485-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUS MED PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "VILLONGCO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "MANZANO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-329-1257",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07738300",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA07738300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01722150",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Louis Salazer, MD
• Sara Salguero
• Uzaz E Salih
• Jeffrey Salizzoni, MD
• Allison Yaros Salomon, OTR
• Samantha Katz LLC
• Arthur Martin Samuels, D.P.M.
• Sana Mental Wellness Center LLC
• Ashly Keiry Sanchez Garcia
• Marlene Sanchez, M. ED.

• Internal Medicine Physician in Teaneck, NJ
• Providers in Teaneck, 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 Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.