Active NPI
Andres Salom, R.EEG.T
- Electroneurodiagnostic Specialist/Technologist
- Lawrence, MA
National Provider Identifier
1407225196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 5361
- Practice address
- 115 River Pointe Way
Apt 6103
Lawrence, MA 01843-3853 - Phone
- (617) 888-9311
- NPI assigned
- Sep 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 5361 | MA | Primary |
Addresses
Primary practice location
115 River Pointe Way
Apt 6103
Lawrence, MA 01843-3853
Mailing address
115 River Point Way
Apt 6103
Lawrence, MA 01843
Phone (617) 888-9311
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5361 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1407225196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 RIVER POINT WAY",
"address_2": "APT 6103",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "01843",
"telephone_number": "617-888-9311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 RIVER POINTE WAY",
"address_2": "APT 6103",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018433853",
"telephone_number": "617-888-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOM",
"first_name": "ANDRES",
"name_prefix": "Mr.",
"credential": "R.EEG.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-23",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "MA",
"license": "5361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.