Individual provider Active NPI

Jerome Keith Tuvera Salvani, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1154528354
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
260193 Issued in NY
Practice address
450 Clarkson Ave
Box 50
Brooklyn, NY 11203-2012
Phone
(718) 270-7302
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 260193 NY Primary
Internal Medicine Physician 207R00000X 15676 NH
Internal Medicine Physician 207R00000X MD19795 ME
Internal Medicine Physician 207R00000X A118629 CA

Addresses

Primary practice location

450 Clarkson Ave
Box 50
Brooklyn, NY 11203-2012

Mailing address

69 5TH Ave Apt 2G
New York, NY 10003-3006
Phone (347) 323-9357

Other practice location 1

123 Medical Center Dr
Brunswick, ME 04011-2652
Phone (207) 373-6000

Other identifiers 1

IdentifierTypeStateIssuer
1154528354MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090928000184 NY Practitioner - Internal MedicinePractitioner - Infectious Disease 5597811984 Reassigns benefits to 1 organization
Practice locations: Lowville, NY
I20161129001748 ME Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 5597811984 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redington-Fairview General HospitalGroup PAC ID 9133018740, 50 clinicians

Practice addresses (Care Compare)

470 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1000

62 Main St
Skowhegan, ME 04976-1146
Phone (207) 858-4844

Hospital & facility affiliations

  • Redington Fairview General Hospital Hospital, Skowhegan, ME, CCN 201314
  • Suny/Downstate University Hospital of Brooklyn Hospital, Brooklyn, NY, CCN 330350
  • Redington Fairview General Hospital Nursing home, CCN 20Z314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A118629CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redington-Fairview General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Redington-Fairview General Hospital CurrentSince Jan 1, 2026 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Jan 1, 2022 Accepting new patients
Mainehealth CurrentSince Apr 12, 2024 Accepting new patients
Mainehealth CurrentSince Apr 12, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Services LLC Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Hospital Medicine Services of Maine LLC CurrentSince Mar 1, 2019 Accepting new patients
Mount Desert Island Hospital Past Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients
Upper Connecticut Valley Hospital Association Past Accepting new patients

Locations

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293

62 Main St
Skowhegan, ME 04976
Phone (207) 858-4844

46 Fairview Ave
Ste 113
Skowhegan, ME 04976
Phone (207) 474-3697

470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003

840 Lefferts Ave
Brooklyn, NY 11203
Phone (718) 493-0300

445 Lenox Rd
#71
Brooklyn, NY 11203
Phone (718) 270-2030

445 Lenox Rd
Brooklyn, NY 11203
Phone (718) 245-4790

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 12

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 3

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1154528354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 5TH AVE APT 2G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033006",
            "telephone_number": "347-323-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 50",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-7302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112652",
            "country_code": "US",
            "telephone_number": "207-373-6000",
            "fax_number": "207-373-6080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVANI",
        "first_name": "JEROME KEITH",
        "middle_name": "TUVERA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "260193",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "15676",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD19795",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A118629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154528354",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.