Active NPI
Jacob Salamon
- Social Worker
- Monsey, NY
National Provider Identifier
1356980411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 20 Robert Pitt Dr
Monsey, NY 10952-3330 - Phone
- (845) 352-6800
- NPI assigned
- Jan 6, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NY | Primary |
Addresses
Primary practice location
20 Robert Pitt Dr
Monsey, NY 10952-3330
Mailing address
25 Mangin Rd
Monroe, NY 10950-2202
Phone (845) 782-2386
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EHR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
74 W Eckerson Rd
Spring Valley, NY 10977-3610
Phone (917) 426-1477
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Derech Shalom Center Inc | Current | Accepting new patients | |
| Community Assistance Resources & Extended Services Inc | Current | Accepting new patients |
Locations
465 Grand St
New York, NY 10002
Phone (212) 420-1970
75 Montebello Rd
Suffern, NY 10901
Phone (845) 523-9300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- New York, NY
- NPI 1396049987
-
- Case Management Agency
- Suffern, NY
- NPI 1477295848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1356980411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MANGIN RD",
"city": "MONROE",
"state": "NY",
"postal_code": "109502202",
"telephone_number": "845-782-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ROBERT PITT DR",
"city": "MONSEY",
"state": "NY",
"postal_code": "109523330",
"telephone_number": "845-352-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAMON",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EHR",
"affiliation": "N",
"address_1": "20 Robert Pitt Dr",
"city": "Monsey",
"state": "NY",
"country_code": "US",
"postal_code": "109523330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monsey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.