Organization Active NPI

Donald J Salzberg, MD

  • Ophthalmology Physician
  • West Hartford, CT
National Provider Identifier
1235288937
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
025635 Issued in CT
Legal business name
DONALD J SALZBERG, MD
Practice address
836 Farmington Ave
Suite 121
West Hartford, CT 06119-1505
Phone
(860) 233-2346
Fax
(860) 233-2346
NPI assigned
Jan 10, 2007
Organization subpart
Yes
Parent organization
DONALD J SALZBERG, MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Dr. Donald Salzberg, MDNPI 1063413615
Title
Owner
Phone
(860) 233-2346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 025635 CT Primary

Addresses

Primary practice location

836 Farmington Ave
Suite 121
West Hartford, CT 06119-1505

Mailing address

836 Farmington Ave
Suite 121
West Hartford, CT 06119-1505
Phone (860) 233-2346

Other identifiers 1

IdentifierTypeStateIssuer
4212289MedicaidCT

National Provider Directory

National Provider Directory
Part of
Donald J Salzberg M D

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1235288937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE",
            "address_2": "SUITE 121",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191505",
            "telephone_number": "860-233-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE",
            "address_2": "SUITE 121",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191505",
            "telephone_number": "860-233-2346",
            "fax_number": "860-233-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J SALZBERG, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DONALD J SALZBERG, MD",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "SALZBERG",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-233-2346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "025635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4212289",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.