Individual provider Active NPI

Samantha Jean Salomon, MD

  • Family Medicine Physician
  • West Orange, NJ
National Provider Identifier
1366022816
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA12251900 Issued in NJ
Practice address
180 High St
West Orange, NJ 07052-6039
Phone
(312) 687-6000
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA12251900 NJ Primary

Addresses

Primary practice location

180 High St
West Orange, NJ 07052-6039

Mailing address

180 High St
West Orange, NJ 07052-6039
Phone (312) 687-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808003786 NJ Practitioner - Family Practice 4082151923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consensus Medical Group LLC 138 clinicians
Valley Physician Services PC 593 clinicians

Practice addresses (Care Compare)

105 Main St
Suite a
West Orange, NJ 07052-5421
Phone (973) 344-0900

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12251900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Aug 1, 2024 Accepting new patients
Consensus Medical Group LLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

759 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 709-0099

105 Main St
Ste A
West Orange, NJ 07052
Phone (973) 344-0900

Interoperability endpoints

  • Direct secure messaging: samantha.salomon.1@14448.direct.athenahealth.com
  • Direct secure messaging: samantha.salomon.1@5622.direct.athenahealth.com
  • Direct secure messaging: samantha.salomon.1@18614.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1366022816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HIGH ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070526039",
            "telephone_number": "312-687-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 HIGH ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070526039",
            "telephone_number": "312-687-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOMON",
        "first_name": "SAMANTHA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA12251900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.