Organization Active NPI

Stephanie Ann Salas MD PLLC

  • Primary Care Clinic/Center
  • Bronx, NY
National Provider Identifier
1710365622
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
STEPHANIE ANN SALAS MD PLLC
Practice address
1200 Waters PL Ste 102
Bronx, NY 10461-2729
Phone
(850) 572-9040
NPI assigned
May 12, 2015
Last updated
Jul 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Stephanie Ann Salas
Title
MD
Phone
(850) 572-9040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1200 Waters PL Ste 102
Bronx, NY 10461-2729

Mailing address

1200 Waters PL Ste 102
Bronx, NY 10461-2729

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1710365622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL STE 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL STE 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612729",
            "telephone_number": "850-572-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE ANN SALAS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "850-572-9040"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.