Salome Quirmolue

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01429300 Issued in NJ

Practice address

65 Old Highway 22
Clinton, NJ 08809-1315

Phone

(203) 376-9510

NPI assigned

Jan 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wound Healing Associates PCGroup PAC ID 2668789116, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wound Healing Associates PC

  • Internal Medicine Physician
  • Hawthorne, NJ
  • NPI 1932585445
  Medicare reassignment Care Compare group NPD
• Bastidas Plastic Surgery, PC

  • Plastic Surgery Physician
  • Paterson, NJ
  • NPI 1053724674
  Medicare reassignment NPD
• Hunterdon Medical Center

  • Hospitalist Physician
  • Flemington, NJ
  • NPI 1023395316
  Medicare reassignment NPD
• Promed Preferred NJ P.C.

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1578327722
  Medicare reassignment NPD
• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728
  Medicare reassignment NPD
• Medicine Check PC

  • Family Medicine Physician
  • Stone Mountain, GA
  • NPI 1457020497

  PA

  Medicare reassignment NPD
• Hunterdon Medical Center

  • Nephrology Physician
  • Flemington, NJ
  • NPI 1396561577
  NPD

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1689389843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 DANIEL DR",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "088863207",
            "telephone_number": "203-376-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 OLD HIGHWAY 22",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091315",
            "telephone_number": "203-376-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIRMOLUE",
        "first_name": "SALOME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01429300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Securetext",
            "affiliation": "N",
            "address_1": "65 old Highway 22",
            "city": "Clinton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Securetext",
            "affiliation": "N",
            "address_1": "65 old Highway 22",
            "city": "Clinton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securetext",
            "affiliation": "N",
            "address_1": "65 Old Highway 22",
            "city": "Clinton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088091315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• PPS of NJ LLC
• Michael S. Prezioso, PH.D.
• Edmund Richard Proctor Jr., DDS
• Rachael Prosseda, LICSW
• Quantum Health Spa
• Sharon Lynn Rauschenberger, PH.D.
• Bridget Virginia Reddington, PA-C
• Geoffrey Channon Reed, D.C.
• Carolyn Esposito Regan, PHD
• Carla Rhinehart

• Family Nurse Practitioner in Clinton, NJ
• Providers in Clinton, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.