Active NPI
Salut Medical PC
- Geriatric Medicine (Family Medicine) Physician
- Brooklyn, NY
National Provider Identifier
1245682475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 215006
- Legal business name
- SALUT MEDICAL PC
- Practice address
- 699 Stanley Ave
Brooklyn, NY 11207-7905 - Phone
- (347) 689-8880
- Fax
- (718) 247-7382
- NPI assigned
- Jul 12, 2016
- Last updated
- Oct 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ilya Kleyn, MD
- Title
- Owner
- Phone
- (347) 689-8880
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 215006 | NY | Primary |
Addresses
Primary practice location
699 Stanley Ave
Brooklyn, NY 11207-7905
Mailing address
1837 E 17TH St
Apt 5a
Brooklyn, NY 11229-2961
Phone (347) 689-8880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- New York, NY
- NPI 1851327092
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1972628865
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1063883759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476576000000",
"number": "1245682475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1837 E 17TH ST",
"address_2": "APT 5A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292961",
"telephone_number": "347-689-8880",
"fax_number": "718-247-7382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 STANLEY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112077905",
"telephone_number": "347-689-8880",
"fax_number": "718-247-7382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALUT MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-12",
"last_updated": "2016-10-16",
"status": "A",
"authorized_official_last_name": "KLEYN",
"authorized_official_first_name": "ILYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-689-8880",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NY",
"license": "215006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.