Individual provider Active NPI

August G Salvatore, MD PHD

  • Internal Medicine Physician
  • Warren, NJ
National Provider Identifier
1447212154
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04503700 Issued in NJ
Practice address
65 Mountain Blvd Ext
Ste 209
Warren, NJ 07059
Phone
(732) 469-7290
Fax
(732) 469-7917
NPI assigned
Apr 6, 2006
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04503700 NJ Primary

Addresses

Primary practice location

65 Mountain Blvd Ext
Ste 209
Warren, NJ 07059

Mailing address

65 Mountain Blvd Ext
Ste 209
Warren, NJ 07059
Phone (732) 469-7290

Other identifiers 1

IdentifierTypeStateIssuer
1416308MedicaidNJ

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
I20050909000197 NJ Practitioner - Internal Medicine 1759319940 Practice locations: Warren, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

65 Mountain Blvd Ext
Warren, NJ 07059-2632

65 Mountain Blvd Ext
Suite 209
Warren, NJ 07059-5678
Phone (732) 469-7290

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Hospital & facility affiliations 4

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1447212154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MOUNTAIN BLVD EXT",
            "address_2": "STE 209",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "07059",
            "telephone_number": "732-469-7290",
            "fax_number": "732-469-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MOUNTAIN BLVD EXT",
            "address_2": "STE 209",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "07059",
            "telephone_number": "732-469-7290",
            "fax_number": "732-469-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVATORE",
        "first_name": "AUGUST",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04503700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1416308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.