Individual provider Active NPI

Ali Saleh

  • Driver
  • Lake Hiawatha, NJ
National Provider Identifier
1245618719
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
100614 Issued in NJ
Practice address
14 Cayuga Ave
Lake Hiawatha, NJ 07034-1902
Phone
(973) 917-3223
Fax
(973) 917-3224
NPI assigned
May 15, 2015
Last updated
May 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 100614 NJ Primary

Addresses

Primary practice location

14 Cayuga Ave
Lake Hiawatha, NJ 07034-1902

Mailing address

14 Cayuga Ave
Lake Hiawatha, NJ 07034
Phone (973) 917-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100614NJMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1245618719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CAYUGA AVE",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "07034",
            "telephone_number": "973-917-3223",
            "fax_number": "973-917-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CAYUGA AVE",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070341902",
            "telephone_number": "973-917-3223",
            "fax_number": "973-917-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEH",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NJ",
            "license": "100614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hiawatha, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.