Individual provider Active NPI

Gregory Salmon, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1265700983
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401852 Issued in NY
Practice address
5521 Chester Ave
Philadelphia, PA 19143-5334
Phone
(856) 360-5659
Fax
(229) 231-0227
NPI assigned
Dec 8, 2011
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401852 NY Primary

Addresses

Primary practice location

5521 Chester Ave
Philadelphia, PA 19143-5334

Mailing address

3211
Q3
Augusta, GA 30909
Phone (201) 406-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, GA, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160623000890 NY Practitioner - Nurse Practitioner 4587955430 Reassigns benefits to 1 organization
Practice locations: Queens Village, NY
I20180730002063 NJ Practitioner - Nurse Practitioner 4587955430 Reassigns benefits to 2 organizations
Practice locations: Moorestown, NJ
I20220421000199 GA Practitioner - Nurse Practitioner 4587955430 Reassigns benefits to 1 organization
I20220823000126 PA Practitioner - Nurse Practitioner 4587955430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

215 E Camden Ave
Apt B4
Moorestown, NJ 08057-1602
Phone (201) 406-8840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of Pennsylvania LLC CurrentSince Aug 1, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 1, 2023 Accepting new patients
Supportive Care Psychology of NJ PC CurrentSince Nov 1, 2022 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince May 2, 2025 Accepting new patients
Henry Street Housekeeping Assistance Services Past Accepting new patients
Coordinated Behavioral Care Ipa Inc Past Accepting new patients
Stable Community Services PastSince Aug 26, 2019 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

18 Butler Blvd
Bayville, NJ 08721
Phone (732) 237-2220

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

560 Berkeley Ave
Orange, NJ 07050
Phone (973) 672-6500

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1265700983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211",
            "address_2": "Q3",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "201-406-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 CHESTER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435334",
            "telephone_number": "856-360-5659",
            "fax_number": "229-231-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMON",
        "first_name": "GREGORY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.