Active NPI
August G Salvatore, MD PHD
- Internal Medicine Physician
- Warren, NJ
National Provider Identifier
1447212154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA04503700
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1416308 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
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.
-
dba JFK University Medical Center
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Edison, NJ
- NPI 1780301366
Hospital
-
dba Kessler Rehabilitation Center
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.