Individual provider Active NPI

Salvatore M Decosta, DC

  • Chiropractor
  • Edison, NJ
National Provider Identifier
1295760320
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00202600 Issued in NJ
Practice address
1163 Inman Avenue
Suite 101
Edison, NJ 08820-4511
Phone
(908) 754-8585
Fax
(908) 754-8733
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00202600 NJ Primary

Addresses

Primary practice location

1163 Inman Avenue
Suite 101
Edison, NJ 08820-4511

Mailing address

1163 Inman Avenue
Suite 101
Edison, NJ 08820-4511
Phone (908) 754-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1295760320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 INMAN AVENUE",
            "address_2": "SUITE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204511",
            "telephone_number": "908-754-8585",
            "fax_number": "908-754-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 INMAN AVENUE",
            "address_2": "SUITE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204511",
            "telephone_number": "908-754-8585",
            "fax_number": "908-754-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOSTA",
        "first_name": "SALVATORE",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00202600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.