Individual provider Active NPI

Salvatore Pepe IV, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Wall Township, NJ
National Provider Identifier
1609809458
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
25MB07025000 Issued in NJ
Practice address
1825 Route 35
Wall Township, NJ 07719-3541
Phone
(732) 280-2600
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB07025000 NJ
Internal Medicine Physician 207R00000X 25MB07025000 NJ
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 25MB07025000 NJ Primary

Addresses

Primary practice location

1825 Route 35
Wall Township, NJ 07719-3541

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Other practice location 1

64 Princeton Hightstown Rd Ste 2
West Windsor, NJ 08550-1103
Phone (609) 799-7009

Other practice location 2

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 588-3635

Other practice location 3

100 Campus Town Cir Ste 100
Ewing, NJ 08638-1962
Phone (609) 799-7009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, CT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100730000430 NJ Practitioner - Emergency MedicinePractitioner - Internal Medicine 3779616578 Reassigns benefits to 1 organization
I20240219002623 NY Practitioner - Emergency Medicine 3779616578 Reassigns benefits to 1 organization
I20241028002658 CT Practitioner - Emergency Medicine 3779616578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB07025000NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Jan 18, 2024 Accepting new patients
Premier Brain and Spine, LLC Emergency Medicine CurrentSince May 12, 2025 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Summit Medical Group PA CurrentSince Dec 19, 2019 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Sep 30, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jan 18, 2024 Accepting new patients
Premier Brain and Spine LLC CurrentSince May 12, 2025 Accepting new patients
Summit Medical Group PA CurrentSince Dec 19, 2019 Accepting new patients

Locations

506 Westport Ave
Norwalk, CT 06851
Phone (203) 706-4170

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

100 Campus Town Cir
Ste 100
Ewing, NJ 08638
Phone (609) 799-7009

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

282 E Route 4
Paramus, NJ 07652
Phone (551) 222-0800

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

1825 State Route 35
Wall Township, NJ 07719
Phone (732) 280-2600

64 Princeton Hightstown Rd
Ste 2
West Windsor, NJ 08550
Phone (609) 799-7009

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

1919 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 227-2273

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: salvatore.pepeny.1@2983.direct.athenahealth.com
  • Direct secure messaging: salvatore.pepe.1@21449.direct.athenahealth.com
  • Direct secure messaging: salvatore.pepe.1@2983.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1609809458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 ROUTE 35",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193541",
            "telephone_number": "732-280-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Princeton Hightstown Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "West Windsor",
            "state": "NJ",
            "postal_code": "085501103",
            "country_code": "US",
            "telephone_number": "609-799-7009",
            "fax_number": "609-799-7808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Diamond Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Berkeley Heights",
            "state": "NJ",
            "postal_code": "079222104",
            "country_code": "US",
            "telephone_number": "908-588-3635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Campus Town Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086381962",
            "country_code": "US",
            "telephone_number": "609-799-7009",
            "fax_number": "609-799-7808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPE",
        "first_name": "SALVATORE",
        "name_suffix": "IV",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB07025000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB07025000",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NJ",
            "license": "25MB07025000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.