Organization Active NPI

Salisbury Medical Practice, P.C.

  • Internal Medicine Physician
  • Hicksville, NY
National Provider Identifier
1518092352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SALISBURY MEDICAL PRACTICE, P.C.
Practice address
123 Stewart Ave
Hicksville, NY 11801-6131
Phone
(516) 433-0770
Fax
(516) 433-0820
NPI assigned
Feb 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jed A. Hantverk, M.D.NPI 1811990187
Title
Physician
Phone
(516) 433-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

123 Stewart Ave
Hicksville, NY 11801-6131

Mailing address

123 Stewart Ave
Hicksville, NY 11801-6131
Phone (516) 433-0770

National Provider Directory

National Provider Directory

Locations

123 Stewart Ave
Hicksville, NY 11801
Phone (516) 433-0770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518092352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 STEWART AVE",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016131",
            "telephone_number": "516-433-0770",
            "fax_number": "516-433-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 STEWART AVE",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016131",
            "telephone_number": "516-433-0770",
            "fax_number": "516-433-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALISBURY MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANTVERK",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-433-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.