Individual provider Active NPI

A Peter Salas, MD, FACS, FACM

  • Plastic and Reconstructive Surgery Physician
  • West Orange, NJ
National Provider Identifier
1124189030
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MA72092 Issued in NJ
Practice address
101 Old Short Hills Rd
Suite 501
West Orange, NJ 07052-1000
Phone
(973) 731-2000
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MA72092 NJ Primary

Addresses

Primary practice location

101 Old Short Hills Rd
Suite 501
West Orange, NJ 07052-1000

Mailing address

65 Larkin Cir
West Orange, NJ 07052-1122
Phone (973) 731-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000043 NJ Practitioner - Plastic and Reconstructive SurgeryPractitioner - General SurgeryPractitioner - Hand SurgeryPractitioner - Surgical Oncology 5698790103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery, Hand Surgery, Surgical Oncology
Education
New York Medical College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surg-Elite PCGroup PAC ID 4789779901, 2 clinicians

Practice addresses (Care Compare)

101 Old Short Hills Rd
Suite 501
West Orange, NJ 07052-1080
Phone (973) 731-2000

Hospital & facility affiliations

  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue20
Removal of skin lesions16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA72092NJMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surg-Elite PC Plastic and Reconstructive Surgery CurrentSince Jan 2, 2002 Accepting new patients
Salas Plastic Surgery Plastic and Reconstructive Surgery CurrentSince Sep 25, 2012 Accepting new patients

Locations

101 Old Short Hills Rd
Ste 501
West Orange, NJ 07052
Phone (973) 731-2000

Interoperability endpoints

  • Direct secure messaging: asalas68050@northwell.direct-ci.com
  • Direct secure messaging: asalas260110@epicdirect.rwjbh.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1124189030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LARKIN CIR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521122",
            "telephone_number": "973-731-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "address_2": "SUITE 501",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521000",
            "telephone_number": "973-731-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "A",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD, FACS, FACM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "MA72092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.