Stacy P Salob, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

187578 Issued in NY

Practice address

361 Sterling Rd
Harrison, NY 10528-1320

Phone

(914) 967-7224

Fax

(914) 967-7225

NPI assigned

May 12, 2006

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

Opted out of Medicare

Yes, effective Jul 1, 2019 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

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

Interoperability endpoints

• Direct secure messaging: sps2001@direct.nyp.org

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.

• David E. Bank, M.D., P.C.

  • Dermatology Physician
  • Mount Kisco, NY
  • NPI 1962695072
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1194776435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 64TH ST",
            "address_2": "SUITE 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216690",
            "telephone_number": "212-317-1100",
            "fax_number": "212-317-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 STERLING RD",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281320",
            "telephone_number": "914-967-7224",
            "fax_number": "914-967-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOB",
        "first_name": "STACY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "187578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint Vincent'S Hosptial Westchester
• Saint Vincents Catholic Med CTRS
• Saint Vincents Catholic Med CTRS
• Benedict Salanitro
• Alexander Brendon Sallahian, DPT
• Jenna M Sanantonio, PT
• Samara Sanchez-Arredondo, MHC
• Emily Ann Sanchez, LMSW
• Katherine Saideh Santana, M.S, CCC-SLP-BE
• Vanessa Santana

• Dermatology Physician in Harrison, NY
• Providers in Harrison, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.