Organization Active NPI

Salvatore M. Gagliano M.D.P.a.

  • Obstetrics & Gynecology Physician
  • Passaic, NJ
National Provider Identifier
1508136185
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MAO3052000 Issued in NJ
Legal business name
SALVATORE M. GAGLIANO M.D.P.A.
Practice address
258 Passaic Ave
Passaic, NJ 07055-3502
Phone
(973) 471-8887
Fax
(973) 471-9162
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Salvatore Michael Gagliano, MD
Title
President
Phone
(973) 471-8887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 25MAO3052000 NJ Primary

Addresses

Primary practice location

258 Passaic Ave
Passaic, NJ 07055-3502

Mailing address

258 Passaic Ave
Passaic, NJ 07055-3502
Phone (973) 471-8887

Other identifiers 1

IdentifierTypeStateIssuer
1381806MedicaidNJ

National Provider Directory

National Provider Directory

Locations

258 Passaic Ave
Passaic, NJ 07055
Phone (201) 471-8887

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1508136185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 PASSAIC AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553502",
            "telephone_number": "973-471-8887",
            "fax_number": "973-471-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 PASSAIC AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553502",
            "telephone_number": "973-471-8887",
            "fax_number": "973-471-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATORE M. GAGLIANO M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "GAGLIANO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-471-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MAO3052000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1381806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.