Individual provider Active NPI

Edwin Salamanca, PA

  • Physician Assistant
  • Englewood, NJ
National Provider Identifier
1134165269
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MP00551 Issued in NJ
Practice address
350 Engle Street
Englewood Hospital
Englewood, NJ 07631
Phone
(201) 984-3000
Fax
(610) 617-6280
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MP00551 NJ Primary
Emergency Medicine Physician 207P00000X 005262 NY

Addresses

Primary practice location

350 Engle Street
Englewood Hospital
Englewood, NJ 07631

Mailing address

PO Box 48310
Emergency Physicians of Ema Inc
Newark, NJ 07101-4810
Phone (201) 894-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100318000458 NJ Practitioner - Physician Assistant 6709911597 Reassigns benefits to 2 organizations
I20190419000321 NY Practitioner - Physician Assistant 6709911597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19120 Northern Blvd
Flushing, NY 11358-2829
Phone (718) 244-8855

235 Glen Cove Rd
Carle Place, NY 11514-1221
Phone (516) 877-2273

2459 Merrick Rd
Bellmore, NY 11710-5703
Phone (516) 826-2273

292 Herricks Rd
Mineola, NY 11501-1119
Phone (516) 746-2273

30 Franklin Ave
Franklin Square, NY 11010-2527
Phone (516) 352-0253

3111 Steinway St
Astoria, NY 11103-3908
Phone (718) 475-2345

3276 Hempstead Tpke
Levittown, NY 11756-1345
Phone (516) 796-2273

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

415 Northern Blvd
Great Neck, NY 11021-4812
Phone (516) 829-2273

560 Merrick Rd
Rockville Centre, NY 11570-5445
Phone (516) 858-2373

585 Merrick Rd
Lynbrook, NY 11563-2311
Phone (516) 764-2273

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

Merit-based Incentive Payment System (MIPS)

Final score
80.54 of 100Reported as group
Quality
70.76
Improvement activities
40
Cost
76.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MP00551NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Apr 29, 2019 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Apr 29, 2019 Accepting new patients
Englewood Medical Associates Inc Emergency Medicine Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Medical Associates of Englewood, PC Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: edwin.salamanca.1@2983.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1134165269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48310",
            "address_2": "EMERGENCY PHYSICIANS OF EMA INC",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071014810",
            "telephone_number": "201-894-3450",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE STREET",
            "address_2": "ENGLEWOOD HOSPITAL",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-984-3000",
            "fax_number": "610-617-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMANCA",
        "first_name": "EDWIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "MP00551",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "005262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.