Active NPI
Hernando Salazar Nossa, M.D
- Infectious Disease Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 311717-01
- Practice address
- 4422 3Rd Ave BLDG 3
Bronx, NY 10457-2545 - Phone
- (718) 960-9000
- NPI assigned
- Jun 20, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 311717-01 | NY | Primary |
Addresses
Primary practice location
4422 3Rd Ave BLDG 3
Bronx, NY 10457-2545
Mailing address
4422 3Rd Ave BLDG 3
Bronx, NY 10457-2545
Phone (718) 960-9000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211013001517 | NY | Practitioner - Infectious Disease | 2961800495 |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4422 3Rd Ave
Bronx, NY 10457-2545
Hospital & facility affiliations
- St Barnabas Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311717 | NY | MD | Licensed Practical Nurse |
| 311717-01 | NY | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SBH Physicians, PC | Current | Accepting new patients | |
| SBH Physicians, PC | Current | Accepting new patients | |
| St. Barnabas Hospital | Past | Accepting new patients |
Locations
2016 Bronxdale Ave
Bronx, NY 10462
Phone (718) 822-1515
4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730
4422 3rd Ave
Bldg 3
Bronx, NY 10457
Phone (718) 960-6202
111 E 210th St
Bronx, NY 10467
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- hernando.salazar.nossa.1@18107.direct.athenahealth.com
- hsalazar19145@sbhny.direct-ci.net
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Bronx, NY
- NPI 1457665937
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1740595917
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1215387378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 3RD AVE BLDG 3",
"city": "BRONX",
"state": "NY",
"postal_code": "104572545",
"telephone_number": "718-960-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 3RD AVE BLDG 3",
"city": "BRONX",
"state": "NY",
"postal_code": "104572545",
"telephone_number": "718-960-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR NOSSA",
"first_name": "HERNANDO",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-20",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "311717-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.