Individual provider Active NPI

Moro O. Salifu, M.D.

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1275528598
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
239060 Issued in NY
Practice address
450 Clarkson Ave
Box 52
Brooklyn, NY 11203-2056
Phone
(718) 270-1584
Fax
(718) 270-3327
NPI assigned
Sep 13, 2005
Last updated
Apr 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 239060 NY Primary

Addresses

Primary practice location

450 Clarkson Ave
Box 52
Brooklyn, NY 11203-2056

Mailing address

450 Clarkson Ave
Box 52
Brooklyn, NY 11203-2056
Phone (718) 270-1584

Other identifiers 1

IdentifierTypeStateIssuer
02242900MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000435 NY Practitioner - NephrologyPractitioner - Other (Physician) 0547392623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flatlands Medical Associates, PLLCGroup PAC ID 1052597051, 5 clinicians

Practice addresses (Care Compare)

3839 Flatlands Ave
Suite 100
Brooklyn, NY 11234-3535
Phone (718) 338-5024

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 826-4959

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
001393NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flatlands Medical Associates, PLLC CurrentSince Apr 18, 2011 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
University Physicians of Brooklyn, Inc. Nephrology CurrentSince May 1, 1996 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince May 1, 1996 Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients

Locations

3839 Flatlands Ave
Ste 100
Brooklyn, NY 11234
Phone (718) 338-5024

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

450 Clarkson Ave
#52
Brooklyn, NY 11203
Phone (718) 270-1584

Networks

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

Interoperability endpoints

  • Direct secure messaging: morosalifu@sunydmc.allscriptsdirect.net
  • Direct secure messaging: msalifu1055897@nychhc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1275528598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 52",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-270-1584",
            "fax_number": "718-270-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 52",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-270-1584",
            "fax_number": "718-270-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIFU",
        "first_name": "MORO",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "239060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02242900",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.