Individual provider Active NPI

Paul William Salerno, M.D

  • Physical Medicine & Rehabilitation Physician
  • Amsterdam, NY
National Provider Identifier
1447228440
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
211842-1 Issued in NY
Practice address
67 Division St
Amsterdam, NY 12010-4099
Phone
(518) 842-2723
Fax
(518) 842-6573
NPI assigned
Mar 8, 2006
Last updated
Sep 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 211842-1 NY Primary

Addresses

Primary practice location

67 Division St
Amsterdam, NY 12010-4099

Mailing address

67 Division St
Amsterdam, NY 12010-4099
Phone (518) 842-2723

Other identifiers 1

IdentifierTypeStateIssuer
01927022MedicaidNY

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
I20050214000838 NY Practitioner - Physical Medicine and Rehabilitation 5294726360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Medical College of Georgia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

67 Division St
Amsterdam, NY 12010-4099
Phone (518) 842-2723

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211842-1NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul W. Salerno M.D., P.C. Physical Medicine & Rehabilitation CurrentSince May 14, 2004 Accepting new patients
Northeast Foot Care, PLLC Past Accepting new patients

Locations

5010 State Highway 30
Ste 106
Amsterdam, NY 12010
Phone (518) 842-2200

67 Division St
Amsterdam, NY 12010
Phone (518) 842-2723

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1447228440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 DIVISION ST",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104099",
            "telephone_number": "518-842-2723",
            "fax_number": "518-842-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 DIVISION ST",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104099",
            "telephone_number": "518-842-2723",
            "fax_number": "518-842-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALERNO",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "211842-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01927022",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.