Mary Jo Salomon

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

011882-1 Issued in NY

Practice address

25 Lakehill Rd
Ballston Lake, NY 12019-2429

Phone

(518) 399-9141

Fax

(518) 399-0343

NPI assigned

Nov 17, 2011

Sex

Female

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": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1154698207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LAKEHILL RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120192429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LAKEHILL RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120192429",
            "telephone_number": "518-399-9141",
            "fax_number": "518-399-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOMON",
        "first_name": "MARY JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "011882-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Riggi, FNP
• Mark L Roschinsky, DMD
• Caitlin Ross
• Julia Kristine Rutherford, PA-C
• Megan Rae Ryan, PHARM.D
• Saratoga Hospital
• Saratoga Hospital
• Scotia Glenville Family Medicine, P.C.
• Sara Renee Scully, RN
• Natalia Selyuzhitski, PHARMD

• All providers in Ballston Lake, NY
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.