Organization Active NPI

Salud Medical Office, PC

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1245575760
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
118487 Issued in NY
Legal business name
SALUD MEDICAL OFFICE, PC
Practice address
2088 Amsterdam Ave
2ND Floor
New York, NY 10032-5015
Phone
(212) 928-1125
Fax
(212) 928-1144
NPI assigned
Dec 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Fred A Avila, MD
Title
President
Phone
(212) 928-1125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 118487 NY Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

2088 Amsterdam Ave
2ND Floor
New York, NY 10032-5015

Mailing address

2088 Amsterdam Ave
2ND Floor
New York, NY 10032-5015
Phone (212) 928-1125

Other identifiers 2

IdentifierTypeStateIssuer
01139202MedicaidNY
118487OtherNYLICENSE

National Provider Directory

National Provider Directory

Locations

2088 Amsterdam Ave
#2
New York, NY 10032
Phone (212) 928-1125

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1245575760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 AMSTERDAM AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100325015",
            "telephone_number": "212-928-1125",
            "fax_number": "212-928-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 AMSTERDAM AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100325015",
            "telephone_number": "212-928-1125",
            "fax_number": "212-928-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUD MEDICAL OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-928-1125",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "118487",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01139202",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "118487",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.