Justine Salas-Mationg

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F354179-01 Issued in NY

Practice address

62 N 3Rd St
Brooklyn, NY 11249-4052

Phone

(646) 650-5337

Fax

(646) 871-6820

NPI assigned

Oct 28, 2024

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1114749538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 N 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112494052",
            "telephone_number": "646-650-5337",
            "fax_number": "646-871-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 N 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112494052",
            "telephone_number": "646-650-5337",
            "fax_number": "646-871-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS-MATIONG",
        "first_name": "JUSTINE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F354179-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tziri Salamon, DDS
• Evan Philip Salant, M.D.
• Susan Salari, MD
• Astrid Y Salas Martinez
• Bernice Salas Perez
• Crystal Adelina Salas, M.S., CCC-SLP
• Giselle Salas, LMSW
• Jacqueline Lee Salas, M.D.
• Melissa Salas
• Ferdous Mohammad Salauddin, MD

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.