Active NPI
Josephine Salhab, PAC
- Surgical Physician Assistant
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA00518
- Practice address
- 164 Summit Ave
RM C70
Providence, RI 02906-2853 - Phone
- (401) 793-3922
- Fax
- (401) 435-7069
- NPI assigned
- Jul 13, 2005
- Last updated
- Jan 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1065 | NV | |
| Medical Physician Assistant | 363AM0700X | 50001173 | OH | |
| Surgical Physician Assistant | 363AS0400X | PA00518 | RI | Primary |
Addresses
Primary practice location
164 Summit Ave
RM C70
Providence, RI 02906-2853
Mailing address
PO Box 16149
Rumford, RI 02916-0697
Phone (401) 453-9625
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558369512 | Medicaid | NV | |
| PA00518 | Other | RI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Dudley St
Providence, RI 02905-3248
Phone (401) 272-1800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1065 | NV | MD | Medical Physician Assistant |
| 50001173 | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Medical | Current | Accepting new patients |
| Lifespan Corporation | Current | Accepting new patients | |
| Gastroenterology Center of Nevada, LLP (Desai) | Past | Accepting new patients | |
| Lifespan Physician Group, Inc. | Past | Accepting new patients |
Locations
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
164 Summit Ave
#C70
Providence, RI 02906
Phone (401) 793-3922
164 Summit Ave
Rm C70
Providence, RI 02906
Phone (401) 793-3922
164 Summit Ave
Ste C70
Providence, RI 02906
2 Dudley St
Ste 470
Providence, RI 02905
Phone (401) 274-7546
Interoperability endpoints
- jsalhab12140@brownhealth.medalliesdirect.net
Organizations & group practices 7
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.
-
dba Brown Surgical Associates
- Surgery Physician
- Providence, RI
- NPI 1376589895
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Medical
-
dba RIH Transplant Services
- Transplant Surgery Physician
- Providence, RI
- NPI 1174605208
-
dba Brown Health Medical Group
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
-
- Gastroenterology Physician
- Las Vegas, NV
- NPI 1144214750
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1558369512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16149",
"city": "RUMFORD",
"state": "RI",
"postal_code": "029160697",
"telephone_number": "401-453-9625",
"fax_number": "401-435-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 SUMMIT AVE",
"address_2": "RM C70",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062853",
"telephone_number": "401-793-3922",
"fax_number": "401-435-7069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALHAB",
"first_name": "JOSEPHINE",
"credential": "PAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA1065",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50001173",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "RI",
"license": "PA00518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558369512",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA00518",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.