Active NPI
Maria Salazar, DMD
- General Practice Dentistry
- West New York, NJ
National Provider Identifier
1295043065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02416002
- Practice address
- 6219 Bergenline Ave
2ND Floor
West New York, NJ 07093-1605 - Phone
- (201) 891-1007
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02416002 | NJ | Primary |
Addresses
Primary practice location
6219 Bergenline Ave
2ND Floor
West New York, NJ 07093-1605
Mailing address
6219 Bergenline Ave
2ND Floor
West New York, NJ 07093-1605
Phone (201) 891-1007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160516001741 | NJ | Order and Referring Only - Other (Physician) | 2961791827 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02416002 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1295043065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6219 BERGENLINE AVE",
"address_2": "2ND FLOOR",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070931605",
"telephone_number": "201-891-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6219 BERGENLINE AVE",
"address_2": "2ND FLOOR",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070931605",
"telephone_number": "201-891-1007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02416002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.