Individual provider Active NPI

Ali M Saleh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lyndhurst, NJ
National Provider Identifier
1598294134
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00354000 Issued in NJ
Practice address
160 Ridge Rd
Lyndhurst, NJ 07071-1275
Phone
(201) 939-9098
Fax
(201) 939-5614
NPI assigned
Jun 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 24MD00354000 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00354000 NJ Primary

Addresses

Primary practice location

160 Ridge Rd
Lyndhurst, NJ 07071-1275

Mailing address

160 Ridge Rd
Lyndhurst, NJ 07071-1275
Phone (201) 939-9098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811000634 NJ Practitioner - Podiatry 2961827738 Reassigns benefits to 2 organizations
Practice locations: Lyndhurst, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys General Medical Group PCGroup PAC ID 5496112476, 73 clinicians
SMGH Physician Practice Management LLCGroup PAC ID 6406141480, 3 clinicians

Practice addresses (Care Compare)

160 Ridge Rd
Lyndhurst, NJ 07071-1275
Phone (201) 939-9098

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue124
Removal of skin lesions15
Removal of nail tissue171
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24MD00354000NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
SMGH Physician Practice Management, LLC CurrentSince Jun 5, 2021 Accepting new patients
St Marys General Medical Group PC Podiatrist CurrentSince Jul 1, 2023 Accepting new patients

Locations

1033 Clifton Ave
Clifton, NJ 07013
Phone (973) 473-5700

160 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-1480

160 Ridge Rd
Fl 1
Lyndhurst, NJ 07071
Phone (201) 939-9098

350 Boulevard
Fl 2
Passaic, NJ 07055

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1598294134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711275",
            "telephone_number": "201-939-9098",
            "fax_number": "201-939-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711275",
            "telephone_number": "201-939-9098",
            "fax_number": "201-939-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEH",
        "first_name": "ALI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "24MD00354000",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00354000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

Verify at the official NPI Registry.