Individual provider Active NPI

Matthew Salvaterra, R.N.

  • General Practice Registered Nurse
  • Syracuse, NY
National Provider Identifier
1588907729
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
621097-1 Issued in NY
Practice address
375 W Onondaga St RM 10
Syracuse, NY 13202-1889
Phone
(315) 559-6288
NPI assigned
Apr 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 621097-1 NY Primary

Addresses

Primary practice location

375 W Onondaga St RM 10
Syracuse, NY 13202-1889

Mailing address

375 W Onondaga St RM 10
Syracuse, NY 13202-1889
Phone (315) 559-6288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
621097-1NYMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1588907729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 W ONONDAGA ST RM 10",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021889",
            "telephone_number": "315-559-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 W ONONDAGA ST RM 10",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021889",
            "telephone_number": "315-559-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVATERRA",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "621097-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.