Individual provider Active NPI

Jeffrey Salizzoni, MD

  • Pulmonary Disease Physician
  • Teaneck, NJ
National Provider Identifier
1679655906
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MA52004 Issued in NJ
Practice address
1 Degraw Ave
Teaneck, NJ 07666-4000
Phone
(201) 928-0200
Fax
(201) 928-0820
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA52004 NJ
Pulmonary Disease Physician 207RP1001X MA52004 NJ Primary

Addresses

Primary practice location

1 Degraw Ave
Teaneck, NJ 07666-4000

Mailing address

1 Degraw Ave
Teaneck, NJ 07666-4000
Phone (201) 928-0200

Other identifiers 1

IdentifierTypeStateIssuer
6818706MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000423 NJ Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4789570326 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA52004NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Medical Associates, PA Internal Medicine CurrentSince Oct 22, 1991 Accepting new patients
Aspen Medical Associates, LLC Internal Medicine Past Accepting new patients

Locations

1 Degraw Ave
Teaneck, NJ 07666
Phone (201) 837-2174

197 Cedar Ln
Ste 2
Teaneck, NJ 07666
Phone (201) 591-9840

Interoperability endpoints

  • Direct secure messaging: jsalizzoni190200@ahs.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1679655906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEGRAW AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664000",
            "telephone_number": "201-928-0200",
            "fax_number": "201-928-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEGRAW AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664000",
            "telephone_number": "201-928-0200",
            "fax_number": "201-928-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIZZONI",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA52004",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA52004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6818706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.