Active NPI
Thadeo L Salido, MD
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 248108
- Practice address
- 460 W 34TH St
11TH Floor
New York, NY 10001-2320 - Phone
- (212) 273-6433
- NPI assigned
- Jul 18, 2006
- Last updated
- May 8, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA0808300 | NJ | |
| Internal Medicine Physician | 207R00000X | 248108 | NY | Primary |
Addresses
Primary practice location
460 W 34TH St
11TH Floor
New York, NY 10001-2320
Mailing address
460 W 34TH St
11TH Floor
New York, NY 10001-2320
Phone (212) 273-6433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00356310 | Other | NJ | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA0808300 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Travel Heath Consultants, LLC | Past | Accepting new patients |
Locations
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
460 W 34th St
Fl 11
New York, NY 10001
Phone (212) 273-6515
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1568480119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 W 34TH ST",
"address_2": "11TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012320",
"telephone_number": "212-273-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 W 34TH ST",
"address_2": "11TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012320",
"telephone_number": "212-273-6433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALIDO",
"first_name": "THADEO",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA0808300",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "248108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00356310",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.