Ej Salazar Medical PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EJ SALAZAR MEDICAL PLLC

Practice address

234 North Central Park Ave.
Suite 201
Hartsdale, NY 10530

Phone

(914) 229-3390

Fax

(914) 229-3395

NPI assigned

May 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Edgard J. Salazar, MDNPI 1467785139

Title

Physician

Phone

(914) 229-3390

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EJ Salazar Medical PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Edgard Jose Salazar, M.D

  • Family Medicine Physician
  • Hartsdale, NY
  • NPI 1467785139
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1336713577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 NORTH CENTRAL PARK AVE.",
            "address_2": "SUITE 201",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "10530",
            "telephone_number": "914-229-3390",
            "fax_number": "914-229-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 NORTH CENTRAL PARK AVE.",
            "address_2": "SUITE 201",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "10530",
            "telephone_number": "914-229-3390",
            "fax_number": "914-229-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJ SALAZAR MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "EDGARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-229-3390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPS",
            "identifier": "1467785139",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EJ Salazar Medical PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Hartsdale, NY
• Providers in Hartsdale, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.