Individual provider Active NPI

Paul D Salzberg, MD

  • Family Medicine Physician
  • Callicoon, NY
National Provider Identifier
1164406229
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
155001 Issued in NY
Practice address
9741 St RT 97
Callicoon, NY 12723-0899
Phone
(845) 887-6112
Fax
(845) 887-6245
NPI assigned
Dec 2, 2005
Last updated
Oct 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 155001 NY Primary

Addresses

Primary practice location

9741 St RT 97
Callicoon, NY 12723-0899

Mailing address

PO Box 899
Callicoon, NY 12723-0899
Phone (845) 887-6112

Other identifiers 1

IdentifierTypeStateIssuer
00778318MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040105000675 NY Practitioner - Family Practice 6406755883 Reassigns benefits to 1 organization
Practice locations: Callicoon, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Orange, Sullivan & Ulster CurrentSince Apr 19, 2022 Accepting new patients
Catskill Regional Medical Center Family Medicine Past Accepting new patients

Locations

27 Matthews St
Goshen, NY 10924
Phone (845) 294-5124

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1164406229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "CALLICOON",
            "state": "NY",
            "postal_code": "127230899",
            "telephone_number": "845-887-6112",
            "fax_number": "845-887-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9741 ST RT 97",
            "city": "CALLICOON",
            "state": "NY",
            "postal_code": "127230899",
            "telephone_number": "845-887-6112",
            "fax_number": "845-887-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZBERG",
        "first_name": "PAUL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "155001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00778318",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Callicoon, NY

Sources for this page

Verify at the official NPI Registry.