Salutem Diagnostics LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SALUTEM DIAGNOSTICS LLC

Practice address

187 Merrill Ave FL 1
Staten Island, NY 10314-3239

Phone

(347) 570-8639

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Archil Arjevanidze

Title

Director

Phone

(347) 570-8639

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Agnieszka Kokoszka, MD

  • Clinical Neurophysiology Physician
  • New York, NY
  • NPI 1326206285
  NPD
• Harmesh K Mittal, MD

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1295802098
  NPD
• Elliott Jay Wagner, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1558312579
  NPD

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1609450659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 MERRILL AVE FL 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143239",
            "telephone_number": "347-570-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 MERRILL AVE FL 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143239",
            "telephone_number": "347-570-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUTEM DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "ARJEVANIDZE",
        "authorized_official_first_name": "ARCHIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-570-8639"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chadi Salmane
• Taylor A Salmieri
• Malka Salomon, LMSW
• Laura Salonia, DO
• Judith Saltiel, MS, CCC-A
• Jennifer Salvador, RN
• Joseph Salvador
• Desiree Salvaggio
• Marissa Salvato
• Prudence Salvato, CASAC-T

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.