Individual provider Active NPI

Anne Lenora Salerno, MASTER OF SCIENCE

  • Specialist
  • Massapequa, NY
National Provider Identifier
1366762742
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5955 Issued in NY
Practice address
86 Stillwater Ave
Massapequa, NY 11758-8422
Phone
(516) 798-6916
NPI assigned
Jun 8, 2010
Last updated
Jun 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5955 NY Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

86 Stillwater Ave
Massapequa, NY 11758-8422

Mailing address

86 Stillwater Ave
Massapequa, NY 11758-8422
Phone (516) 798-6916

Other identifiers 1

IdentifierTypeStateIssuer
5955OtherNYSPECIAL EDUCATION PERMENAT

Other names 1

  • Anne Lenora Salerno Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5955NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1366762742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 STILLWATER AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588422",
            "telephone_number": "516-798-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 STILLWATER AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588422",
            "telephone_number": "516-798-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALERNO",
        "first_name": "ANNE",
        "middle_name": "LENORA",
        "name_prefix": "Prof.",
        "credential": "MASTER OF SCIENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "5955",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL EDUCATION PERMENAT",
            "identifier": "5955",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "SALERNO",
            "middle_name": "LENORA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.