Individual provider Active NPI

Paula Salazar

  • Family Nurse Practitioner
  • Rego Park, NY
National Provider Identifier
1255030409
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2272188 Issued in NY
Practice address
9932 66TH Rd
Rego Park, NY 11374-4462
Phone
(718) 805-0037
Fax
(866) 221-0879
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2272188 NY Primary

Addresses

Primary practice location

9932 66TH Rd
Rego Park, NY 11374-4462

Mailing address

8616 Jamaica Ave
Jamaica, NY 11421-2042
Phone (718) 805-0037

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019002238 NY Practitioner - Nurse Practitioner 5991151425 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
351420-01NYMDLicensed Practical Nurse
2272188NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Family Practice Physicians, PC CurrentSince Aug 6, 2023 Accepting new patients
Ny Family Medical Docs PC Past Accepting new patients

Locations

7924 Jamaica Ave
Woodhaven, NY 11421
Phone (516) 239-1800

8616 Jamaica Ave
Woodhaven, NY 11421
Phone (800) 992-6827

7602 Jamaica Ave
Woodhaven, NY 11421

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1255030409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114212042",
            "telephone_number": "718-805-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9932 66TH RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744462",
            "telephone_number": "718-805-0037",
            "fax_number": "866-221-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "PAULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "2272188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.