Michael Salzillo, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401187 Issued in NY

Practice address

8900 Van Wyck Expy
Richmond Hill, NY 11418-2897

Phone

(718) 206-6000

NPI assigned

Oct 14, 2018

Last updated

Oct 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1539475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1316413669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 GRISSOM WAY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884415",
            "telephone_number": "631-543-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182897",
            "telephone_number": "718-206-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZILLO",
        "first_name": "MICHAEL",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-14",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Saghar Nia, MD
• Kaheerman Saibire, DO
• John Saith
• Mabel Salcedo
• Joseph Portin Salva VIII, PT
• Samaritan Daytop Village
• Samaritan Daytop Village
• Samaritan Daytop Village, Inc.
• Narisha D Samsundar, OTR
• Darwin San Agustin, REGISTERED NURSE

• Psychiatric/Mental Health Nurse Practitioner in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; 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.