Stephan K Salvia, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

342167 Issued in NY

Practice address

100 Hospital Rd Ste 216
East Patchogue, NY 11772

Phone

(631) 475-5511

Fax

(631) 475-5544

NPI assigned

Aug 31, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Long Island Neuroscience Specialists LLP

  • Neurological Surgery Physician
  • E Patchogue, NY
  • NPI 1184686222
  Medicare reassignment NPD
• Samaritan Medical Services, P.C.

  • Internal Medicine Physician
  • West Islip, NY
  • NPI 1124184544
  Medicare reassignment NPD
• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1396263281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD STE 216",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728814",
            "telephone_number": "631-475-5511",
            "fax_number": "631-475-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD STE 216",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-475-5511",
            "fax_number": "631-475-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "184 N Belle Mead Rd",
            "address_purpose": "LOCATION",
            "city": "East Setauket",
            "state": "NY",
            "postal_code": "117333455",
            "country_code": "US",
            "telephone_number": "631-675-6226",
            "fax_number": "631-475-5544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVIA",
        "first_name": "STEPHAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "342167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENCE NUMBER",
            "identifier": "342167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sachem Optics Inc
• Alexa Sadowski, SERVICE COORDINATOR
• Gobindveer Singh Sahi, MD
• M Hani Salam, MD
• Andreea Saltu, LPN
• Jane Salzano, LCSW
• Christine Samuels
• Alexander Julian Sanchez, D.D.S.
• Kari M. Sandaas
• Meeru Sathi -Welsch, M.D.

• Nurse Practitioner in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.