Individual provider Active NPI

Guy Salomon, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1417932435
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
215762 Issued in NY
Practice address
1 Gustave L Levy PL
Anesthesiology - Box 1010
New York, NY 10029-6504
Phone
(800) 627-4470
Fax
(412) 937-5767
NPI assigned
Dec 13, 2005
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 215762 NY Primary
Anesthesiology Physician 207L00000X 25MA08542400 NJ

Addresses

Primary practice location

1 Gustave L Levy PL
Anesthesiology - Box 1010
New York, NY 10029-6504

Mailing address

PO Box 5024
New York, NY 10087-5024
Phone (800) 627-4470

Other identifiers 3

IdentifierTypeStateIssuer
0249726MedicaidNJ
CAN215762-6OtherWORKER'S COMP
02438888MedicaidNY

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000754 NY Practitioner - Anesthesiology 0941100630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-6426

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215762NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Current Accepting new patients
Fpa Hospital Based Anesthesiology CurrentSince Jan 1, 2017 Accepting new patients
Fpa Hospital Based CurrentSince Jan 1, 2017 Accepting new patients
Floral Park Medical PC Past Accepting new patients
Tri State Anesthesia, P.C Anesthesiology PastSince Jul 20, 2011 Accepting new patients
Naeem Chaudhry MD PC Past Accepting new patients
Ramapo Anesthesiologists, PC Anesthesiology PastSince Mar 5, 2007 Accepting new patients
Mount Sinai School of Medicine Anesthesiology Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

775 Park Ave
Ste 115
Huntington, NY 11743
Phone (631) 659-4150

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1417932435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5024",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100875024",
            "telephone_number": "800-627-4470",
            "fax_number": "412-937-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "ANESTHESIOLOGY - BOX 1010",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "800-627-4470",
            "fax_number": "412-937-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOMON",
        "first_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "215762",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08542400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249726",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "CAN215762-6",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02438888",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.