Organization Active NPI

Salvatore M. Laraia, MD, PA

  • Internal Medicine Physician
  • Fort Lee, NJ
National Provider Identifier
1336335413
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA07477500 Issued in NJ
Legal business name
SALVATORE M. LARAIA, MD, PA
Practice address
1625 Anderson Ave
Suite 304
Fort Lee, NJ 07024-2748
Phone
(201) 944-7676
Fax
(201) 944-9452
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Dr. Michael Dennis Hernandez, MD
Title
Physician
Phone
(201) 944-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA07477500 NJ Primary

Addresses

Primary practice location

1625 Anderson Ave
Suite 304
Fort Lee, NJ 07024-2748

Mailing address

1625 Anderson Ave
Suite 304
Fort Lee, NJ 07024-2748
Phone (201) 944-7676

National Provider Directory

National Provider Directory

Locations

1625 Anderson Ave
Ste 304
Fort Lee, NJ 07024
Phone (201) 224-2747

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1336335413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 ANDERSON AVE",
            "address_2": "SUITE 304",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242748",
            "telephone_number": "201-944-7676",
            "fax_number": "201-944-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 ANDERSON AVE",
            "address_2": "SUITE 304",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242748",
            "telephone_number": "201-944-7676",
            "fax_number": "201-944-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATORE M. LARAIA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-944-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA07477500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.