Organization Active NPI

Jesse Salmeron MD PA

  • Otolaryngology Physician
  • North Miami Beach, FL
National Provider Identifier
1639202302
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
JESSE SALMERON MD PA
Practice address
3363 NE 163Rd St Ste 505
North Miami Beach, FL 33160-4423
Phone
(305) 652-8151
Fax
(305) 651-7257
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Jesse Salmeron, MDNPI 1730146994
Title
Owner
Phone
(305) 652-8151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

3363 NE 163Rd St Ste 505
North Miami Beach, FL 33160-4423

Mailing address

PO Box 640885
Miami, FL 33164-0885
Phone (305) 652-8151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070827000393 FL Part B Supplier - Clinic/Group Practice 2163514878 Receives reassigned benefits from 1 practitioner
Practice locations: Ft Lauderdale, FL; North Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

1 NE 23rd Ave
Pompano Beach, FL 33062
Phone (954) 941-2245

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1639202302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640885",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331640885",
            "telephone_number": "305-652-8151",
            "fax_number": "305-651-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 NE 163RD ST STE 505",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604423",
            "telephone_number": "305-652-8151",
            "fax_number": "305-651-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE SALMERON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "SALMERON",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-652-8151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.